HomeSchooling Program – Registration Form

Student's Information

Student Name *

First

Last

Select Program *

Student Email *

Date of Birth *

Nationality *

Gender *

Student previous School/ College Name (if any)

In which grade he/she is? *

Past School Qualifications *

Note: mention previous grade/class student was in

Past Results *

please mention the final exam % of students from class 1 till last qualification separated by comma like this class 1 : 96% , class 2 : 87% etc

Parent / Guardian Information

Father's/Guardian Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Father's/Guardian Phone No. *

Father's/Guardian CNIC No. *

Father's Profession *

Profession and Designation/Position

Father's Email *

Mother's Name *

First

Last

Mother's Occupation/Profession *

Mother's Phone No. *

Mother's Email *

Medical Information

Does your child have any medical issues of which we need to be aware? *

Yes
No

If yes, please explain

Billing Information

Which session do you want to join? *

How would you like to pay the fee? *

Cash
Visa/Master Card
Bank Transfer

Monthly/Lumpsum fee and Laptop fee.

What discounts are you eligible for? *

none
15% - Sibling discount

Terms and conditions

Is the student willing to study 8 hrs daily from Monday - Thursday? and 5hrs on Friday, Saturday and Sunday? *

he/she will try.
Yes, we have convinced him/her to do it.
Yes, very happily willing.

Please read all options carefully and select one.