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Registeration Information at Pima
Please fill accurately
* Indicates required question
Surname
*
Your answer
First name
*
Your answer
Email
*
Your answer
Gender
*
Male
Female
Other:
Address
*
Your answer
Phone number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Occupation
*
Your answer
Means of identification
*
Choose
International Passport
National ID Card
Who told you about Pima ?
*
Your answer
What type of learner are you?
Goal oriented
Short term
Life long
Which language do you wish to learn?
*
Your answer
What’s your three (3) most suitable learning days ?
*
Your answer
What are your most suitable learning hours?
*
Morning
Afternoon
Evening
Required
The complete A1 class lasts for 8 weeks. Would you continue after the 4th week?
*
Yes
No
Required
Do you wish to receive a certificate after this 8 weeks = 2 months training?
*
Yes
No
Required
Which linguistic competence is more important to you?
*
Speaking
Writing
Listening
Reading
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