Student Booking Form

Please complete the following form to make a request to our school.

Student Information

Please fill the student info in the following form. Field with asterix ( * ) can not be blank!

Student Name*

Student Nationality*

Student Gender*

Male

Female

Student's Date of Birth*

Student Address*

Student's Current English proficiency

None

Basic

Intermediate

Advanced

Parent/Guardian’s information

Please fill the Parent/Guardian’s information in the following form.

Field with asterix ( * ) can not be blank!

Guardian's Name*

Relation with Student*

Guardian's Nationality

Do you have E-Mail Address?*

Yes

E-mail*

Mobile no.*

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