Intake form

Name *

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What is your current level of education?

Which subjects are you seeking assistance with?

Please select at least one option.

Mathematics

Science

English

Bahasa Malaysia

History

Geography

Additional Mathematics

Physics

Chemistry

Biology

Preferred mode of learning

What is your preferred location for face-to-face classes?

Are you interested in group classes or individual tutoring?

What are your academic goals?

Additional questions or comments

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