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FOREIGN LANGUAGE PROGRAMME REGISTRATION FORM
Date
Target language
Personal details
Surname
First
Name(s)
E-mail
Company name
Position
Gender
Male
Female
Date of birth
Age
Nationality
Address
Tel home:
Fax:
Mobile:
Tel work:
How did you
find out
about us?
Programme
required
Group
Individual intensive
Flexible intensive
How long do you
wish to study?
weeks
20 hrs
40 hrs
60hrs
80 hrs
Starting Date
Finishing Date
How long have you studied
the target language?
Current level
of knowledge
Comments
