Language school form

Registration Form
First name: Middle name: Last name(s):

Country of Origin:

Gender: Male Female D.O.B:

Address:
Country: Phone Number:
Email:

Language Course: English Chinese France Russian

 You are required to take an entrance test to determine the level

I wish to register in: Morning Afternoon

 Monday-Wednesday-Friday: 7AM-11AM 1PM-5PM

 Tuesday-Thursday-Saturday: 7AM-11AM 1PM-5PM

Person to contact in case of an emergency (Mobile No):

Why do you choose our school:

Signature Date