PSLE Superstudent Registration Form – Dr Zam’s Academy® PSLE Masterclass: Expert PSLE Coaching & Study Skills for Top Success in English, Maths & Science

Student Information

PSLE Superstudent's Name

Student's Email

This email address will be used as login credentials to access online SuperStudy Platform.

Student's Mobile Phone

Please provide Student’s Mobile Phone Number for Live-Online Sessions, and Consultations. If your child does not have his/her own, and you authorise him/her to use your mobile phone, enter your mobile phone number.

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Monthly PSLE Masterclass SuperPacks will be delivered to this mailing address

School Name

Gender

Date of Birth

Medical Conditions/Allergies

Signature Name Mobile

Extracurricular Activities

Primary 5 Results

Provide your End-of-Year Exams Results in terms of marks

Maths

Provide marks out of 100

Science

Provide marks out of 100

English

Provide marks out of 100

Mother Tongue

Provide marks out of 100

Parent/Guardian Information

SuperParent's Name

Parent's Email

Only for communication purpose with parent. Please create a separate email address just for your child as Student’s Email so that it can be used to access the online SuperStudy platform.

Parent's Mobile Phone

Only for communication purpose, unless Parent authorises the use for Student as part of the Live-Online sessions and consultations.

Signature

Clear Signature

By signing here, you agree to the Terms and Conditions of Dr Zam’s Academy® PSLE Masterclass (https://pslemasterclass.com/terms)