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Your name
Date of Birth
School Name
Class in School —Please choose an option—JSS1JSS2JSS3SS1SS2SS3
Your phone (or Parent's)
Your email (or Parent's)
Name of Head of School
Email of Head of School
Parent Name
I consent to the student of my school to join the Cybersecurity Youth League of ZIASS Limited in line with the terms and conditions. I consent
I consent to the my child to join the Cybersecurity Youth League of ZIASS Limited in line with the terms and conditions. I consent