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Paypal Invoice
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ASSESSMENT APPLICATION
Please provide accurate assessment details as incorrect details may void your application. We take data protection security very seriously and will not share your details with third party marketing services of any kind.
Choose your assessment location and time (3 of our Centres currently allow Assessments.)
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Assessments can be booked on the same day as filling this application, up to 2 hours before the actual assessment time.
EALING: This Saturday: 12.30pm to 1.30pm
EALING: Next Saturday: 12.30pm to 1.30pm
EALING: This Monday: 5.30pm to 6.30pm
EALING: Next Monday: 5.30pm to 6.30pm
HOUNSLOW: This Saturday: 3.30pm to 4.30pm
HOUNSLOW: Next Saturday: 3.30pm to 4.30pm
HOUNSLOW: This Wednesday: 7.30pm to 8.30pm
HOUNSLOW: Next Wednesday: 7.30pm to 8.30pm
HARROW: This Saturday: 10.00am to 11.00am
HARROW: Next Saturday: 10.00am to 11.00am
A Date & Time not listed above (Special cases only - we will call to follow up).
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Location you wish your child to study at:
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Hounslow
Ealing
Slough
Harrow
Uxbridge
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Pupil's Details
Pupil's Last Name
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Must contain
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Pupil's First Name
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Must contain
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Gender
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Male
Female
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Current School Year
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State number from 1 to 13
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Date of Birth
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dd/mm/yyyy
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Current Day School Name
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(State none if no day school attended.)
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Subject Required For Tuition
Maths
English
Science
A Level Biology
A Level Chemistry
A Level Physics
Other:
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Parent's Contact Details
Parent/Guardian Contact
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Mother
Father
Grandparent
Other
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Mobile Number
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Home Telephone Number
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Parent/Guardian Email
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Email not valid
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Home Address
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State Door Number, Street Name, Town & Post Code
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How did you hear about Cherry Hill?
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Recommendation
Leaflet
Newspaper
Billboard on Street
Internet Search
Cherry Hill Building Sign
Television/Radio Advert
Poster in Tube/Train Station
Poster in Heathrow/Gatwick Airport
Advert on Buses
Other
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Additional information relevant to your application.
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By clicking Submit, you agree that the information provided above is accurate and complete. Payment will be required on the next page via paypal. You do not need a Paypal account to pay via Paypal (see bottom option of next page to pay directly by debit/credit card).
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