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* Indicates required question
Subject
*
Mathematics
Biology
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Phone Number
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Your answer
Student's Email
*
Your answer
Parent's First Name
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Your answer
Parent's Last Name
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Your answer
Parent's Phone Number
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Your answer
Parent's Email
*
Your answer
School Name
Your answer
Year/Level of Academics
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Choose
Sec 1 O Level
Sec 2 O Level
Sec 3 O Level
Sec 4 O Level
Sec 1 IP
Sec 2 IP
Sec 3 IP
Sec 4 IP
JC 1 H2
JC 2 H2
IB Year 1
IB Year 2
IB Year 3
IB Year 4
IB Year 5
IB Year 6
Referral's Name (if any)
Your answer
Payment Method
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Cash
Cheque
Paylah! or Bank Transfer
I have read and agreed to Xsquare Math Specialist Learning Centre's Terms and Conditions
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I accept responsibility to ensure full and timely payment for fees. Fees paid are non-refundable
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