TEACHER REGISTRATION FORM
1) Teacher details
Teacher Name
*
IC Number
*
Front view of IC
*
Back view of IC
*
Gender
*
Male
Female
Contact Number
*
Contact Option
*
WhatsApp Call
WhatsApp Message
Phone Call
Alternative/Emergency Contact Number
Residential Address in Johor
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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2) Bank Details
Bank Name
*
Bank Account Number
*
3) Position
3.1) Designation
PART-TIME TUTOR
3.2) Select Availability
*
Monday
Tuesday
Wednesday
Thursday
Friday
Monday
Tuesday
Wednesday
Thursday
Friday
Acknowledgement
*
I agree the details are correct at the time of submission
Teacher's Signature
*
Submit
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