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Applicant’s Details

First Name:

Last Name:

Date of birth:

Place of birth:

HK I.D / Passport No.:

Nationality:

Phone:

Email:

Parents / Guardians Details

One Parent's/Guardian's Name:

Home Phone:

Work Phone:

Mobile/Pager:

Residential Address:

Email:

In an emergency, the School should contact:

Name:

Phone:

Has the applicant ever been suspended / expelled from school for discipline reasons?
No Yes
   
Has the applicant ever been diagnosed as having learning or emotional difficulties?
No Yes
   
Does the applicant have any health or physical problems?
No Yes
   
   
 I would like to register my son/daughter for the following :
(please tick)
 
Fun with English
 Introductory Statistics
Revision course Math/Science/Social Studies
 English for International Communication

FEES
- $6000 (3 hrs. per day)
2 courses

- $3000 (1.5 hrs. per day)
1 course		  

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