English Communication for Adult
Online
A. Student details
Name
*
MyKad No.
*
Gender
*
Please Select
Male
Female
Race
*
Contact no.
*
Email
*
Address
*
City
State
Postcode
Occupation
*
Highest Education Level
*
Session
*
19 March-18 June 2022 (Saturdays 8.30-10pm)
*
I will hereby abide by the rules and regulations of Primaly and certify that the above information is true.
Promotional source
*
PRIMAly student
Facebook
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FB story
Instagram
IG story
IG Ads
Twitter
WhatsApp
Whatsapp story
Telegram
Google search
Friend/Family
PRIMAly Website
PRIMAly tutor
PRIMAly ex-student
PRIMAly ex-tutor
Others
Payment
*
I have made payment to (RHB Bank) (Account Name: Bravometer Sdn Bhd) (Account Number: 26233500043272)
Please upload proof of payment (receipt with reference number)
*
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