The Country School .... Registration Form

System Associate

Education's purpose is to replace an empty mind with an open one.

â€” Malcolm Forbes

Please fill in the following details and we will be in touch shortly.

School Information

Section I

Section II

Educational Qualifications
	Degree	Institution	Year

Section III

If Self Employed then please provide the following details.

Name of Business:

Date of Establishment:

Legal Status:

Address:

Bankers:

Name
Address

If an employee then please provide the following details. (Most recent on top)
	Name of Employer	Nature of Business	Designation	Period

Section IV

Please provide details of any prior experience in education

Section V

If already a Country School Franchisee, please provide the following information
No. of Franchises held
Name of School(s)		Location
Contact Details
Established / Signing Date		Expiry Date
No. of Students

Franchise Fee Paid in Full
Please indicate how you heard about us*

Note: fields mark with * are mandatory.