Foreign Student Registration Form

 

 

Foreign Student Registration Form.

Please Fill in the form.

STUDENT'S PARTICULARS

Required *

Salution Name in Chinese Character
Fullname* Surname*
Passport No. Date of Birth*
Exp. Date of Passport Sex
Nationality* Occupation*
Province/State & country of birth* Race*
Religion Email Addr.
Martial Status

 

HOME CONTACT

Required *

Country Postal Code*
Address* Office Phone
Home Phone Fax No.
Mobile Phone

 

CONTACT IN SINGAPORE (IF ANY)

Required *

Address Postal Code
Home Phone Office Phone
Mobile Phone Fax No.

 

OTHER INFORMATION 

Required *

Language Used in School*
Highest Educational Qualification
Course You Wish To Study

 

 

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ESPERANTO

Esperanto Language Center
5 Temasek Boulevard #12-07 Suntec Tower Five Singapore 038985
Phone: (65)553-1054, Fax: (65)385-0093

 

 

Last Updated Tuesday, October 22, 2002 11:30 PM