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Student's Registration Form
Counsellors Academy
* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Gender
*
Male
Female
Contact Number
(without space)
*
Your answer
Residential Area
*
Your answer
Grade/level
*
Your answer
School/Institute Name
*
Your answer
Subject/Tutor for
*
Your answer
Learning Mode preference
*
Home Tuition
Online Tuition
Any
Tuition Days in a week
*
4 Days
5 Days
6 Days
Other:
Tuition Hours and Preferred Time
*
Your answer
Parent/Guardian Name
*
Your answer
Relationship with the student
*
Your answer
Contact Number
*
as mention above
Other:
Any Additional Information
Your answer
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