SIB .:::. Speak Indonesian Better

Preliminary Registration Form

*First Name:

Last Name:

Age (Optional):

Company:

Private:

Address Location:

Address:

Phone Number (Home)

Handphone

North South East West

Training:	Bahasa Indonesia English Mandarin
*How long have you been in Indonesia?
*Do you speak or understand any Bahasa Indonesia?	None Some
*Why do you want to take lessons?	Refresher New
*Where do you want to study?	Home Office
*Preference when you want to study?	Mornings
	Monday Tuesday Wednesday Thursday Friday Saturday Sunday Afternoons: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Evening (after 5:00 pm): Monday Tuesday Wednesday Thursday Friday Saturday Sunday
*Will you be studying alone?	Yes or
	with a Friend
*How did you find us?	Friend
	Company Advertisement

Thank you. Click here to transmit your Pre-registration Form to our Administration offices.