"*" indicates required fields Email* Student's Name* First Last Student's Current Mailing Address* Street Address Address Line 2 City Student's Current School* Current Phone Contact*Student's Date of Birth* Day Month Year Parent/Guardian's Name* First Last Parent/Guardian's Address* Street Address Address Line 2 City Parent/Guardian's Phone Contact*Registering For:* Math - Form 1 ($200/month) Math - Forms 2 & 3 ($200/month) English A ($200/month) Spanish ($200/month) Information Technology ($200/month) Integrated Science ($200/month) Packages available: 1 subject: $200, 3 subjects: $540, 5 subjects: $900I understand that full payments are to be paid no later than the 4th day of every new month in order to start & continue classes. These payments are to be paid directly to PLI's Scotiabank or FCB accounts via online banking/direct bank deposit, through our Paywise account or via debit/credit card to our WiPay account. Once payment is made, a picture of the receipt/transaction can be sent via WhatsApp (688-7030) or emailed to admin@platinumlearninginstitute.com.* Agree Please note that the monthly fee includes the provision of tuition and all learning materials. There are four sessions per month for each subject. Any session missed by the institution will be made up for at a later agreed date/via sending of the day's work. However, any session missed by the student for whatever reason, does not constitute a make-up session or reduced monthly fee by the institution.* Agree I understand that the class is structure under a homeschooling environment which means that topics within each subject are started from the beginning and built on to higher levels and follow the local curriculum. After each topic is completed, relevant past paper questions will be done.* Agree Other Please attach ONE copy of a valid photo ID (National ID card or DP)*This refers to the students' birth certificate in addition to the parent's photo ID is required. Drop files here or Select files Max. file size: 2 GB. Parent/Guardian's Signature* Δ