"*" indicates required fields Email* Student's Name* First Last Student's Current Mailing Address* Street Address Address Line 2 City Student's Current School(If adult/repeater, type N/A) Current Phone Contact*Student's Date of Birth* Day Month Year Parent/Guardian's Name*(If an adult, type N/A) First Last Parent/Guardian's Address*(If an adult, type N/A) Street Address Address Line 2 City Parent/Guardian's Phone Contact*(If an adult, type all 0s)Registering For:* Evening Classes CSEC January 2024 Online Classes Subject/s Registering For:* Mathematics ($200/month) Add Math ($200/month) English A ($200/month) French ($200/month) Spanish ($200/month) Principles of Accounts (P.O.A.) ($200/month) Principles of Business (P.O.B.) ($200/month) Economics ($200/month) Social Studies ($200/month) Office Administration (O.A) ($200/month) Information Technology (I.T.) ($200/month) Biology ($200/month) Chemistry ($200/month) Physics ($200/month) Integrated Science ($200/month) Human and Social Biology (H.S.B.) ($200/month) Subject/s Registering For:*These classes are especially for students who are re-writing the same subjects they completed prior (at least in the last 2-3 years). These are drill sessions which means they are taught using past papers only. Math ($300/month) English A ($300/month) I understand that to become registered, a $100 non-refundable registration fee must be paid before the start of classes. Also, full payments are to be paid no later than the 4th day of every new month in order to continue classes. These payments are to be paid directly to PLI's Scotia or FCB accounts via online bank transfer or direct deposit, using Paywise or by debit/credit card to our WiPay account. A photo of the transaction receipt should then be sent to us via WhatsApp (688-7030) or emailed to admin@platinumlearninginstitute.com.* Agree Please note that the monthly fees 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 or completed asynchronously. 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 Please attach ONE copy of a valid photo ID (National ID card or DP)*In the case of form 4/5 students, their birth certificate in addition to the parent's photo ID is required. Drop files here or Select files Max. file size: 2 GB. Student/Parent's Signature* Δ