ENROLMENT FORM
 
COURSE(S) INTERESTED (TICK)
1. ENGLISH COURSE FOR ADULTS
2. ENGLISH SMART KIDDY & KIDDO FUN PACK
3. JAPANESE COURSE FOR ADULTS
4. MANDARIN COURSE FOR ADULTS
     
       

ENQUIRER PARTICULARS

       
1. Name :
2. Gender :
Male   Female
3. Age :
4. Address :
     
5. Postal Code :
6. Res. Tel :
7. Off. Tel :
  Dept / Ext:
8. Handphone :
9. NRIC / Passport No. :
10. Date of Birth :