If you need any further clarifications, please call 0240720994. The fee for the form is ₵50 How to Pay for the form Dial *415*1739# (to pay with Mobile Money on all networks)Enter the amount (₵50) when prompted by ASMEC Consultancy.Proceed by entering your password and selecting “Yes.” PaymentPlease note that form submissions will only be accepted if they include a payment Transaction ID.MoMo Number and Username(Required)Kindly provide the phone number and full name linked to the Mobile Money account used for the payment. For instance: 0243332222 - Charity SeiduTransaction ID(Required)Please enter the transaction ID for your payment (NOT your phone number)Attach Photo or Screenshot of Payment message(Required)Max. file size: 1 MB.Basic DetailsName of Student/Pupil(Required) First Last Sex(Required)Please select...MaleFemaleDate of birth(Required) Month Day Year Level of Study(Required)Please select...PrimaryJunior High School (JHS)Level of Study(Required)Please select...Primary 1Primary 2Primary 3Primary 4Primary 5Primary 6JHS 1JHS 2JHS3Current School of Student/Pupil(Required)Home Address(Required) House Number Area/Street Name City Region Digital Address Parent/Guardian InformationPreferred number of sessions per week?(Required)Preferred Hours per session(Required)Please select...1 Hour2 Hours3 HoursPreferred days for teaching seesion(Required) Select All Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays Sundays Preferred Subjects(Required)MathematicsEnglish LanguageScienceDagbanliHistoryCareer technologyOther SubjectsTuition and DurationName of Parent/Guardian(Required) First Last Relationship with Student/Pupil(Required)Residential Address(Required) House Number Area/Street Name City Region Digital Address Email(Required) Enter Email Confirm Email Phone(Required)Other Phone NumberConsent(Required) I hereby confirm that all information submitted is accurate and truthful, without any form of forgery or misrepresentation.I agree to the privacy policy and terms of use of this online application form, and I understand that my submitted information will be handled in accordance with these policies.CAPTCHAThis field is hidden when viewing the formCalculated Monthly fee for Home Tuition ServiceThis field is hidden when viewing the formGH₵This field is hidden when viewing the formPay termsThis field is hidden when viewing the formOfficer's NamesThis field is hidden when viewing the formSignThis field is hidden when viewing the formDateThis field is hidden when viewing the formUndertaken by Parent/Guardian/SponsorI hereby confirm that I am entrusting my child to ASM EDUCATION CENTER for home tuition services. I understand and agree to the terms and conditions of the service.This field is hidden when viewing the formName of Parent/GuardianThis field is hidden when viewing the formChild's NameThis field is hidden when viewing the formSignThis field is hidden when viewing the formDate
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