Student Enrolment Form First Name *Last Name *Gender *FemaleMaleNationality *Date of Birth *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212521242123212221212120211921182117211621152114211321122111211021092108210721062105210421032102210121002099209820972096209520942093209220912090208920882087208620852084208320822081208020792078207720762075207420732072207120702069206820672066206520642063206220612060205920582057205620552054205320522051205020492048204720462045204420432042204120402039203820372036203520342033203220312030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925Email Address *Course *General ESLESL 4 (4 man-to-man)IELTSLEAPNote: IELTS and LEAP is only available from 8/13/2023Dormitory *Premium Single Room APremium Single Room BStandard Single RoomSemi-Single RoomStandard Triple RoomCapsule Quad RoomStart Date *12-28-202501-11-202601-25-202602-08-202602-22-202603-08-202603-22-202604-05-202604-19-2026OTHER START DATEOther Start Date *Duration *1 week2 weeks3 weeks4 weeks8 weeks12 weeks16 weeks20 weeks24 weeksOTHER DURATIONOther Duration *Pick-up Service *GroupIndividualNoFlight Information (Group/Individual Pick-up Service)Your LINE/ WECHAT/ WHATSAPP/ KAKAOTALK account:Other information you want us to take note of:SubmitPlease do not fill in this field.
