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Where did you hear us from?  (E.g. Facebook, Friend, Instagram, etc, please include Friend's name) *
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If you are referred by our existing student(s), please provide their full name (student's full name) 

(For the purpose of rewarding a referral bonus to the referring student upon the successful enrollment.)
If not, please type N/A.
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1. What is your child's name? (Please provide child's surname as well)
Please add QB before your child's name

Example 1: 
QB Peter Chan 
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2. What is parent's name? *
Date of Birth of your child *
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Your contact number *
Your email address
How old is your child/ What grade is your child in? *
Your child's school: *
Which area would you like your child to improve on? (Can choose more than one) *
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