SEPTEMBER: STUDENT INFORMATION FORM

 

NAME:

CLASS: 

PERSONAL EMAIL ADDRESS:  

EDUCAREX EMAIL ADDRESS: 

MOBILE PHONE NUMBER: 

FAMILY PHONE NUMBERS: 

RESIDENTIAL ADDRESS: 

FATHER'S NAME: 

MOTHER'S NAME: 

DO YOU HAVE A PERSONAL COMPUTER:   YES    NO

DO YOU HAVE INTERNET CONNECTION:  YES     NO