PASS4SURE HOLIDAY TUTORIALS
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TO THE APPLICANT: Read carefully and complete in type or handwrite. For more detailed information, please call: 07063000018, 08032640634
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1. Personal Information Full Name: ……………………………………………………………………………………… (First Name) (Middle Name) (Last Name) Gender: □ Male □ Female Marital status: □ Single □ Married Nationality: ………………… Date of Birth: ………/………/……… (Day / Month / Year) Home Address: ………………………………………………………………………………… Email Address: ………………………………………………………………………………… Mobile: …………………………………………..
2. School Details Name of School: ………………………………………………………………………………… Class: ……………… School address: ………………………………………….………… ……………………………………………………….. City/state: ……………………………
3. Program you are applying for：(Tick only) English Mathematics Physics Further Mathematics Chemistry Biology Embedded systems Computer training which also includes; Computer Appreciation ComTia/A+ Networking We also offer personal tutorials to interested applicants. Application starts December 9th to December 26th 2013. Program starts on December 18th 2013. □ □ □ □ □ □ □ □
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4. Educational background. Name of school: …………………………………………………………………………. Class: …………………… School address: …………………………………………….
…………………………………………….. City/state: …………………………………
5. Program you are applying for：(Tick one only) □ □ □ □ □ □ □
English Mathematics Physics Further Mathematics Chemistry Biology Computer training which includes;