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» Optimizing Moodle for Effective Teaching: A Training Session
Online Admission
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Online Admission
First Choice
Name in Full
*
Nationality
Date of Birth
*
Sex
Male
Female
Age
Name of Parent/Guardian
*
Occupation
Annual Income
Permanent Address of Parent with PIN Code
Phone
Mobile
Address to which communication is to be sent with Pincode
Phone
Mobile
Email
Birth Date
*
Grade
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Participant 2
First Name
*
Activity #
*
Fee ($)
*
Birth Date
*
Grade
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Participant 3
First Name
*
Activity #
*
Fee ($)
*
City Resident?
(non-city residents add $5.00 for each participant)
Yes - I am a city resident
No - I am not a city resident
Calculate
Household / Adult Primary Contact
First Name
*
Last Name
*
Address 1
*
Address 2
*
City
*
State
*
Email Address
*
Phone
*
Zip
*
Relationship to Participants:
Self
Mother
Father
Guardian
Other
Submit
