English for Professionals Program
------ Preparing You to Excel ------
Application Form
Attention English language learners!

We welcome you to complete the following application for our English for Professionals Program. This form can be submitted online or in person in our center's location:

Kant Kaw Education Center
Address: No.9, Kan Road, Quarter 10, Hlaing Township, Yangon
Phone no. : 097 890 86 765, or 097 646 66 174

Placement Test Schedule : Thursday (1 pm to 3 pm), Friday (5:30 pm to 7:30 pm) or Sunday (12:30 pm to 2:30 pm).
Placement Test Fee : 1,000 MMK.

Thank you!

1. Are you a new or returning student? *
If you are a returning student, please complete the following information.
Skip this step and proceed to Section 2 if you are a new student.
Most recent course completed at KKEC
Your answer
Name of teacher
Your answer
Date of attendance (from)
MM
/
DD
/
YYYY
Date of attendance (to)
MM
/
DD
/
YYYY
2. Personal Information
Full Name *
Your answer
Other Name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Phone Number *
Your answer
Email Address *
Your answer
Current Address *
Your answer
Emergency Contact Name & Phone Number
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service