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Manara Enquiry Form

What service are you interested in

What program would you like to apply for

Proposed year of entry

What type of school would you like to apply for

Do you have an education gender preference

Does the student have any learning difficulties

Does the student require extra time in exams

Does the student require a student visa

Does the student require accommodation

Personal details

Enquirer's name:
Student's first name:
Student's surename:
Student Current School:
Student Date of Birth:
Student Nationality:
Student Postcode:
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Enquirer's contact number:
How did you hear of Manara:

What level of private tuition do you need

What subject (s) do you need tutoring in

More another subject if you want

How many hours do you think you need

Would you prefer online or face to face tutoring

Do you have preference on tutor gender

Do you have any learning difficulties

Do you require extra time in exams

Personal details

Enquirer's name:
Student's first name:
Student's surename:
Student Current School:
Student Date of Birth:
Student Nationality:
Student Postcode:
Enquirer's e-mail address:
Enquirer's contact number:
How did you hear of Manara:

What country are you relocating from

Do you or your family require a visa

Personal details

Enquirer's name:
Enquirer's Nationality:
Enquirer's e-mail address:
Enquirer's contact number:
How did you hear of Manara:

Personal details

Enquirer's name:
Student's first name:
Student's surename:
Student Current School:
Student Date of Birth:
Student Nationality:
Student Postcode:
Enquirer's e-mail address:
Enquirer's contact number:
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