AFRISTEM DIGITAL SCIENCE SCHOOL – Student Registration Form

Student's Full Name

Please enter the student's full name as it appears on official documents.

This field is required.

Gender

Please select the student's gender.

Male

Female

Other

This field is required.

Phone Number

Please enter a valid phone number.

This field is required.

Email Address

Please enter a valid email address for communication.

This field is required.

Residential Location

Please provide details of the student's residential location.

This field is required.

Country

Please enter the student's country of residence.

This field is required.

Current School

Please enter the name of the current school the student attends.

This field is required.

Current Class

Please specify the current class of the student.

This field is required.

Programme

Please select the programme the student is applying for.

This field is required.

Parent/Guardian's Full Name

Please enter the full name of the parent or guardian.

This field is required.

Relationship to Student

Please specify the relationship of the parent/guardian to the student.

This field is required.

Parent/Guardian's Phone Number

Please enter a valid phone number for the parent or guardian.

This field is required.

Parent/Guardian's Email Address

Please enter a valid email address for the parent or guardian.

This field is required.

WhatsApp Number

Please enter the WhatsApp number for the parent or guardian if available.

This field is required.

Address

Please provide the complete address of the parent or guardian.

This field is required.

What are your expectations from the programme?

Please describe your expectations from the programme.

How did you hear about us?

Please specify how you found out about our programme.

Does the learner have access to a smartphone, tablet or computer?

Please indicate if the learner has access to these devices.

Yes

No

This field is required.

Does the learner have reliable internet access?

Please indicate if the learner has reliable internet access.

Yes

No

This field is required.