學進補習團網上報讀表格

1

個案編號

2

中文姓名* This field is required.

姓

名

3

英文姓名* This field is required.

First Name

Last Name

4

性別* This field is required.

男

女

5

就讀年級* This field is required.

6

學校名稱* This field is required.

7

聯絡電話* This field is required.

8

聯絡電郵* This field is required.

9

居住地區（最就近的位置）* This field is required.

10

屋苑/屋邨名稱* This field is required.

例：沙田第一城 / 水泉澳邨

11

你從哪些途徑認識學進補習團PROEF？* This field is required.

社交網站

免費廣告網站

親戚朋友推薦

宣傳卡片 / 單張

12

補習科目* This field is required.

14

學費預算（每小時）* This field is required.學費水平愈高或能吸引導師接受個案。您也可登上團隊網站內的「收費安排」查看團隊制訂的學費參考水平以決定預算。實際收費依雙方同意為準。

15

指定導師

E.g. Peter Chau / SK Leung

16

每星期堂數* This field is required.

17

每堂預期時限* This field is required.

18

時間可議* This field is required.

19

上課時間* This field is required.