Enrollment Form
*
must be completed
Your infomation
*
Name:
*
Date of birth:
Day:
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Year:
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1996
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1998
1999
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2007
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M/F:
Female
Male
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Passport No:
Expity date
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Month:
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Year:
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
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Natinality:
*
Visa type:
Student
Tourist
Working Holiday
Other
Will you apply for student visa through Lalingua?
Yes
*
EMAIL：
*
Address in home country:
Contact number in home country
Address in Australia:
( if known )
Contact number in Australia ( if known )
*
Highest level of education completed:
*
What is your English level?:
Beginner
Elementary
Intermediate
Advanced
*
Have you taken any of these tests?
IELTS
Cambridge
TOEFL
TOEIC
If yes, When?
What was the result?
Course infomation
*
Course：
Course name
Course time
*
Course Starting date
We consider your starting date.
You hope start course between...
From : Day
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Year
2007
2008
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2012
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2014
2015
2016
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2018
2019
2020
To : Day
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Month
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Year
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
*
Course duration:
weeks
*
Holiday：
Do you intend to take a holiday, during your course?
Yes
If yes,
How long do you want to take a holiday?
weeks
Duration
From:
To:
Reason
Other requests
TEL:+61-2-9299 8166 EMAIL:
lalinguasydney@ozemail.com.au
ADDRESS:Level 3, 93 York St. Sydney 2000 NSW, Australia
© Lalingua Language School
[Provider Code: 02117D]
