Preparation Course Admission Form

Preparation Course Registration Form
Student Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail
Your City
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Mode of Study*

OnlineFace to face
Which ICD Person dealt with you*
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Fee paid (in PKR)*
Fee applicable for the duration of:*
Mode of Payment*
Bank Payment/receipt number
Upload scan of fee receipt

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How you heard about ICD*

For office use only
Date of enrollment

DayMonthYear
Date registration ends

DayMonthYear
One month after the course start date
If you have a voucher code, please enter below, to get a discount.
Voucher Code
Class Timing

:HourMinutesAM/PM Option
until
until :HourMinutesAM/PM Option
Teacher Name

First NameLast Name

For office use only
Additional Comments

Exam you want to prepare for?*

Student progress

For Office use only
Diagnostic exam report

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Diagnostic Exam report

Week 1
Attendance
Course covered
Average Performance
Plan for next week
Any further comments/ complaints?

Week 2
Attendance
Course covered
Average Performance
Plan for next week
Any further comments/ complaints?

Week 3
Attendance
Course covered
Average Performance
Plan for next week
Any further comments/ complaints?

Week 4
Attendance
Course covered
Average Performance
Overall Students Performance

Is the student recommended to take the exam?

YesNo
If the student wishes to continue to next month, please fill in a fresh form.
Request to freeze his course: reason & duration
Final exam result

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