Student Information

Student Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Student Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Sex {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

ID Card Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

School / Institute currently attending {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Subjects {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Preferred time {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Does the student have a learning impairment or medical condition you would like to disclose? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Where would you like to take up tuition? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Would you like to purchase notes or flash cards? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you need help with any project or coursework? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Plan Chosen {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Unless taken over a full year, the following plans: ROAD TO END OF YEAR; ROAD TO MATSEC; SUMMER 3-2-2 WEEK REVISION CHALLENGE; WINTER 3-2-2 WEEK REVISION CHALLENGE will be providing a revision of the syllabus and not cover the full syllabus. Students needing the full syllabus to be covered, might need more hours than those initially quoted. This will be discussed with us and/or tutor accordingly. (A full syllabus coverage should be calculated over a period of 8 - 12 months and charged at the same rate//hour as quoted in communication provided.) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Parent/Guardian Information

Parent/Guardian Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

ID Card Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Terms & Conditions {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}