SIB School of Language
sibschool@sibschool.com
0813 8559 0009
(+62)021-68888246

Visited :
Registration

*First Name :
Last Name :
Age :
Company :
Private :
Address Location :  North South East West
*Address :
Phone Number :
Handphone :
Email :
*Training :  Bahasa Indonesia English Mandarin
*How long have you lived in Indonesia?
*Do you speak or understand any Bahasa Indonesia?  Some None
*Do you speak or understand any English?  Some None
*Why do you want to take lessons?  Refresher New
*Where do you want to study?  Home Office Other:

*Preference when you want to study

Monday  Morning Afternoon Evening
Tuesday  Morning Afternoon Evening
Wednesday  Morning Afternoon Evening
Thursday  Morning Afternoon Evening
Friday  Morning Afternoon Evening
Saturday  Morning Afternoon Evening
Sunday  Morning Afternoon Evening
*Will you be studying :  Alone With Friend Other
if Other:
*How did you find us?  Friend Company Advert Website
Additional Comments :

Thank you. Click submit button to transmit your Pre-registration Form to our Administration Office.

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