The expression $ax^2+15x+4+3x+5$ simplifies to $ax^2+18x+9$. Since it's the square of a binomial, it must equal $(cx+d)^2$ for some constants $c$ and $d$. Now $(cx+d)^2= c^2x^2+2cdx+d^2$ and we can equate its coefficients to that of $ax^2+18x+9$ like so:
a=c22cd=18d2=9
We solve this system of 3 equations in 3 unknowns $a$, $c$, and $d$. Note that there are two solutions but both solutions have the same value of $a$.