Enrollment Form
International Academy of the Millennium
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Program you want to enroll *
Required
First Name/Middle Name/Surname *
Address: *
Birth date: *
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/
DD
/
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Mobile number and Email Address *
Educational Attainment
Purpose of studying the desired course
When to start *
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/
DD
/
YYYY
Time availability *
Time
:
Kindly state your preferred schedule and time
Your Facebook name (for Class Group Chat)
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