ICanLearnProgram International
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Application of Agreement
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Name of Applicant
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First
Last
Applicants date of birth
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What was the last grade or standard in school completed?
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If between grades, list the grade the Applicant will be in at the start of the next school year.
What Grade was achieved in the previous year?
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And Additional Information
Activities & Programs Registering For (Check all that apply)
Grade 3 – 5 (Lower Primary)
Grade 6-8 -(Upper Prim/Middle Sch)
Grade 9-12 (High School)
Special Needs Development
Adobe Courses
Apple Courses
Microsoft Courses
Small Machine Repair Technician
Certiport Exams
Assessment Request
Packages and Fees for Online Platform
Parent – Lead (Special Requirements)
Bronze Platform
Silver Platform
Gold Platform
Parent/Guardian Name
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First
Last
Parent/Guardian Email
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Parent/Guardian Phone
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Permission & Agreement
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I agree and give my permission
I accept the terms and conditions of this contract agreement with ICanLearnProgram International to provide their chosen package and subscription. I accept the agreement and will honour the payment of the package and subscription I have chosen on behalf of my child. If the case where i can not honors the agreement I will notify the administration. If I choose to cancel this contract, I must give two months notice and pay out the subscription to the end of those two months. I accept theses terms.
I agree to the following charge
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Registration Fee (P1200) –
$100.00
Registration Fees in Africa :P1,200 per year/ or USA $100/year
Make Payment
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Direct Deposit : BANK : Bank Gaborone ACCOUNT NAME : Jillian Mary Sigamoney ACCOUNT NO. : 8000941321 BANK BRANCH. : Airport Junction
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