STIMU-ZONE

Schedule A: School Registration Form

Please complete this schedule in full to officially register the school and set up the corresponding administrative profiles on the network. Ensure all contact and facility details are accurate for billing and deployment.

1. School Information

Official School Name

Physical Address

City / Town

Province *

Postal Code

School Telephone Number

General Email Address

2. Franchisee Details

Franchisee Name

Franchisee Area

3. Primary Contact Person

Full Name

Designation (e.g. Principal / HOD)

Mobile Number

Office Number

Direct Email Address

4. Administrative & Billing Contact

Full Name

Designation / Role

Contact Number

Email Address

VAT Registration Number

5. Facilities & Service Selection

Existing Computer Lab? *

Yes No

Estimated Number of Devices

Selected Subscription Tier *

Assisted Learner (Stimu-Zone Facilitator) Software-Only (School's Own Facilitator)

6. Declaration & Authorisation

I, the undersigned, hereby confirm that the information provided above is accurate and that I am duly authorized to provide these details on behalf of the school.

Name *

Designation *

Signature *

Draw your signature in the box below

Date *

Electronic Signature Certificate

By submitting this form you agree that the electronic signature drawn above constitutes a legally binding signature equivalent to a handwritten signature. The submission timestamp and IP metadata are recorded for audit purposes.