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              English Class for Beginner                   )

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 At Watsri Centre : Tel.0161 9984427

English’s Course Application Form

Mr.,Mrs. Miss, Surname: ………………………………  First Name ……………………………..…

Date of Birth: ………………………         Age………. Year,   Nationality ………….……………

Address…………………………………………………………………………………………….…......

………………………………………………………………………………………………………............

……………………………………………………………………………………………….........………..

City: ………………………………….       Post code: ………………………

Tel…………………………………….…   Mobile …………………………………………………

Email…………………………………………………………

-Have you learnt English language before?   (….) Never   (….) Yes

  If yes - Where did you learn ? ……………………………………………………….

-How long did you learn? _________________________

This courses it will be 30 hours. (3 hours x 10 weeks)

            (….)  I prefer to learn on Monday.

            (….)  I prefer to learn on Friday evening.

Date ……/…….…/…………                                    Date ….…/………/………

 Signature …………………………..……                         Signature ………………………….

                         Student                                                                                       Teacher

Note: After complete this application form, Please return to the teacher by the next lesson.