IGCSE Edexcel & Cambridge ENGLISH COACHING

Nurul Sir
Academia
House- 6/10, 1st floor, Room-203
Block-F, Lamatia, Dhaka-1207
Photo Contact No.- 01707484050
Student Admission Form
DD MM YYYY
Admission Date:
MM YYYY
Name: Exam Date:
Previous Current
School:
Contact No.: Email:
Parents/Guardian Information
Name Occupation Contact Number
Father
Mother
Other________
Additional Information Schedule Sat Sun Mon Tue Wed Thu

Nurul Sir
Referred by: 1 3:30-5 3:30-5 3:30-5
2 5-6:30 5-6:30 5-6:30
3 6:30-8 6:30-8 6:30-8
4 3:30-5 3:30-5 3:30-5
5 5-6:30 5-6:30 5-6:30
6 6:30-8 6:30-8 6:30-8
Extra Time: 8pm to 9pm every day except Friday based on prior arrangements
Parents Signature
Fees Admission fee + First + last month fee should be paid before
Admission Tk. 1500.00 starting the class,which is (1500+3000=4500).
Monthly Tk. 3000.00 Mock fee should be paid a week prior to the mock exam.
Mock Tk. 5000.00 bKash Number: 01918514939

Please send last 4 digit of the bKash number as reference

after making the payment
Instructions:
• Cell phone should be in silent mode during the class hours.
• Due H/W has to be completed after regular class hours
• Fees should be cleared by the first week of the respective month.

Teachers Signature
Email: sheikhislam5635@gmail.com