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ICLS Inter-Cultural Language School (English Course)
Registration for Online English Class
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Email Address
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Your answer
Previous ICLS History
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For existing students, please give us your class code
No
Other:
Do you know your approximate level?
*
No
A0/A1 Beginner
A1/A2 Elementary
A2/B1 Pre-Intermediate
B1/B2 Intermediate
C1/C2 Advanced
Other:
Name in Full (As printed in your IC or passport)
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Your answer
Gender
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Male
Female
Other:
Date of Birth
*
MM
/
DD
/
YYYY
Nationality
*
Malaysian
Other:
IC No / Passport No
*
Your answer
Current Address
*
Your answer
HP & House phone number
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Your answer
Marital Status
Single
Married
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Occupation
Your answer
Name of School / Company
Your answer
NEXT OF KIN [EMERGENCY CONTACT]
a) Name
Your answer
b) Relationship
Your answer
c) Contact Number
Your answer
How do you know of ICLS?
*
Facebook
Website
Instagram
ICLS student
Friend
Other:
Which course would you like to join?
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On-line English Conversation Course
On-line Part-time English for Working Adults (Group Lesson)
On-line English Private Lesson
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