eEnquiry @ Quenary Academy
Kindly fill up the eEnquiry form and counselors will process the information accordingly.
Email address *
Full Name as NRIC / Passport *
Date of Birth *
MM
/
DD
/
YYYY
Contact Number *
Email address *
Citizenship *
Gender *
Address *
Highest Qualification *
Language Proficiency
Kindly tick based on your language proficiency ( Speaking, Writing, Listening)
Chinese *
Fair
Very Fluent
English *
Fair
Very Fluent
Malay *
Fair
Very Fluent
Where did you hear about us? *
(e.g website, internet search, word of mouth, etc)
Any inquiry about our course? *
Which month of Intake you interested in? (2020) *
Non - Disclosure Information
All confidential information disclosed by the disclosing party shall be used, consumed, utilized, and acted in whatever ways by receiving party solely and strictly for the purpose, and each disclosure of confidential information may be recorded by the Personnel Incharge or each Party. The receiving party undertakes not to use the Confidential Information for further research, technical analysis, reverse engineering, and/or exploit for the purpose of any commercial.
Initial
Clear selection
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy