Students Enrollment Form

DS-ACADEMY - ONLINE ENROLLMENT FORM

Carefully fill out the form and ensure that the information provided is accurate
Select Category *
Digital Marketing *
English Language Testing *
Home Schooling *
Miscellaneous *
Vocational & Soft Skill *
Duration *
Training Mode *
Cost Per Month
Digital Marketing Cost Per Month
English Language Prep Cost Per Month
Home Schooling Cost Per Term (Junior)
Home Schooling Cost Per Term (Senior)
Miscellaneous Cost Per Month
Vocational & Soft Skill Cost Per Month
Today's Date *
Section A: Student's Bio Data
Passport (150 x 150 pixel) *
Student Name *

First Name Middle Name Last Name
Date Of Birth *

Month Day Year
Gender *
Religion *
Nationality *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Section B: Student's Academic History
Previous School *
Previous School's E-mail
example@example.com
Previous Schools"Number

Country Code Phone Number
Any Medical condition that require special attention? *
Specify Medical Condition
Section C: Parents Details
Parents Full Name *

First Name Middle Name Last Name
Residential Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Father's E-mail *
example@example.com
Mother's E-mail
example@example.com
Father's Number *

Country Code Phone Number
Mother's Number *

Country Code Phone Number
Section D: Required Documents

(Maximum file size allowed for each file is 100kb and supported file type is pdf, jpg, jpeg, png, img or gif)
Most Recent Result or Certification
Recommendation Letter
Additional Comments
Enter the message as it's shown *
You are advised to print this form for your records before you submit and if you are having any problem submitting the form, kindly contact us via the info below.

Tel: +1-855-910-8424

Email: academy@ds-solutions.biz

Thanks for choosing DS-Academy
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DS-ACADEMY - ONLINE ENROLLMENT FORM