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Student’s first name *
Student's last name *
Student’s nickname *
Student's nationality *
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Student's gender *
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Date of birth *
Student food/drug allergies and other physical conditions (if any)
Parent's first name *
Parent’s last name *
Parent’s mobile number *
Please select a contact channel. *
Line
ID LINE/WeChat of parents *
Parent’s email address *
Please confirm the email address *
Agent’s name (if any)
Proceed to payment