Address:
33, Halaman Bukit Gambir 9, Sunway Bukit Gambir, 11700 Gelugor, Penang

Tel: 04 - 6575631

Fax: 04 - 6566632

Email: info@sunflower2u.com

 
 
 

 

Student Registration Form

 

 
 
 
 

I have read the New Students Guide and Tuition Rates. (please read and tick before proceeding)

 
Personal Particulars
     
1) Parents/Guardian name
2) Address
3) Telephone numbers
4) Hand-phone number
5) Email address
6) Student's name
7) Student's school
     
     
     
Tuition Requirements
       
1) Student level/standard/form  
2) Subjects wanted  
       
3)

Tuition venue

   
  - Student's house  
  - Tutor's house
  - Other venue, please specify  
       
4) Preferred timetable (please tick)    
   
 
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
   
   
   
Tutor Preference
     
1) Gender  
  - Male
  - Female
  - No preference
     
2) Race  
  - Malay
  - Chinese
  - Indian
  - No preference
     
3) Age  
  - 20 to 30
  - 30 to 40
  - 40 above
  - No preference
     
4) Special requests if any, please write down