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MKA On-Line Registration
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* Indicates required question
Full Name 이름 (氏名)
*
Your answer
Nationality 국적 国籍
*
Your answer
생년월일 Date of Birth 生年月日
*
MM
/
DD
/
YYYY
Gender 성별 性別
*
남자 Male 男
여자 Female 女
Required
Your Email 이메일 メールアドレス
*
Use valid email only (ex:
abc@yahoo.com
)
Your answer
Phone Number 전화번호 電話番号
*
(ex:010-111-1234)
Your answer
Job 직업 職業
Your answer
Current Address 주소 現住所
*
Your answer
Course Interested 코스 선택 ご希望のコース
*
Private Lessons/Visiting Lessons/On-line lessons
Japanese lessons
1 Day program
Other:
Intended Lesson Period 수강기간 レッスン期間
*
(ex 2017-05-01 to 05-26 )
Your answer
Korean Proficiency 한국어 능력 韓国語レベル
*
None
0
1
2
3
4
5
Native Level
Previously Learned Korean ? 한국어를 배운적이 있습니까? 韓国語受講歴
*
How long ? 언제 期間 / School Name 학교이름 学校名
Your answer
Emergency Contact 비상연락처 緊急連絡先
Your answer
Message その他のメッセージ
Your answer
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