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America Uhak Student Application

Please tell us your needs. Make sure include all your details. Please complete the form below to receive complete details about your Uhak needs. If you have a special case that does not address in this form please e-mail us at info@americauhk.com.
  First Name:   Last Name :
  Interested in:
  Date of Birth(dd/mm/yyyy):        Gender:
  Contact Information
 Tel: 
 Cell: 
 Email: 

  Address
  Present School Information
 School Name :  
 School Address:


 Current Grade:
 
 
  Applying for grade in year
 
Have you taken
              SSAT: Yes No      Date Taken   Score
   SLEP/TOEFL: Yes No      Date Taken   Score
  Parent/Legal Guardian Information
 Parent/Legal Guardian 1    Relationship  
 Parent/Legal Guardian 2    Relationship  
 
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