Local Student Registration Form

 

 

 

For Singapore Citizen and Singapore Permanent Resident (SPR) only.

STUDENT'S PARTICULARS

Required *
Salution Name in Chinese Character
Fullname* Surname*
NIRC Date of Birth*
Nationality* Sex
Province/State & country of birth* Occupation*
Religion Race*
Martial Status Email Addr.

 

HOME CONTACT

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

 

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