Student Application Form

1. Personal Information

Full Name(*)

Please type your full name.

Parents Names (under 18 only):

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Date of Birth :(*)

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Address :

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Phone Number :

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E-mail(*)

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Nationality :(*)

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Food Allergy:

YesNo Invalid Input

If yes, specify

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2. Class

PL-30

PL-45

PL-75

AFTERSCHOOL

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3. Days

Starting from :(*)

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reCAPTCHA(*)

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