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* Indicates required question
NAME OF CHILD(REN) AND AGES E.g JOHN(5 YRS) TEMI(9 YRS)
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Your answer
NAME OF PARENT(S)
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Your answer
CHILD(REN) CURRENT SCHOOL
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Your answer
LOCATION ( full address where the class will take place.)
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Your answer
CITY
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Your answer
PREFERRED NUMBER OF DAYS
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Your answer
PREFERRED TIME FOR TUTORIAL
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Your answer
TICK THE PREFERRED SEX OF TUTOR
*
Female
Male
TICK PREFERRED RELIGION OF TUTOR
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CHRISTIAN
MUSLIM
Other:
PLEASE SPECIFY THE SUBJECTS AND AREA OF NEED
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MOBILE NUMBER
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Your answer
EMAIL ADDRESS
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Your answer
DATE OF COMMENCEMENT
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MM
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DD
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YYYY
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