ASMEC Home Tuition Registration

If you need any further clarifications, please call 0240720994.

The fee for the form is ₵50

How to Pay for the form

1. Dial *415*1739# (to pay with Mobile Money on all networks)
2. Enter the amount (₵50) when prompted by ASMEC Consultancy.
3. Proceed by entering your password and selecting “Yes.”

Payment

Please 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 Seidu

Transaction 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 Details

Name of Student/Pupil(Required)

First Last

Sex(Required)

Please select...MaleFemale

Date 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 2JHS3

Current School of Student/Pupil(Required)

Home Address(Required)

House Number Area/Street Name City Region Digital Address

Parent/Guardian Information

Preferred number of sessions per week?(Required)

Preferred Hours per session(Required)

Please select...1 Hour2 Hours3 Hours

Preferred days for teaching seesion(Required)

Select All

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

Preferred Subjects(Required)

MathematicsEnglish LanguageScienceDagbanliHistoryCareer technology

Other Subjects

Tuition and Duration

Name 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 Number

Consent(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.

CAPTCHA

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Calculated Monthly fee for Home Tuition Service

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GH₵

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Pay terms

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Officer's Names

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Sign

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Date

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Undertaken by Parent/Guardian/Sponsor

I 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.

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Name of Parent/Guardian

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Child's Name

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Sign

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Date