GK Tution Academy
info@gktuition.co.uk
283-291 Wandsworth Road, London, SW8 2ND
Call Us: 020 3633 8773
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STUDENT INFORMATION
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Preferred Start Date
First Name
Last Name
Gender
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Male
Female
Birth Date
School Class
Ethnic Origin
School Attended
Medical or any special needs your child has
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PARENTS/GUARDIAN INFORMATION
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Title
Full Name
Relationship to child
Home Address
Does this child normally live at this address?
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No
Home Number
Mobile number
Email
Does this person have parental responsibility?
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No
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SUBJECT INFORMATION
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Study Level
Primary
Secondary
GCSE
A Level
Select Year (Primary)
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Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Select Year (Secondary)
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Year 7
Year 8
Year 9
Select Year (GCS)
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Year 10
Year 11
Select Year (A-Level)
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Year 12
Year 13
Subjects : (Primary & Secondary)
English
Computing
Math
History
English
Geography
Subjects : (GCSE)
English -Language
English -Literature
Math
Biology
Chemistry
Physics
Subjects : (A Levels)
Biology
Chemistry
Physics
Math – Pure
Math – Mechanics
Probability and Statistics
Psychology
Economics
Computer Sciences
Class Type:
Group
Individual
Day(s) Attending
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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EMERGENCY CONTACT DETAILS
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Phone/Mobile
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I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination.
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