Placement Form

Please fill in the form below if you are interested to sign up !
Select placement date, learning type and learning programme :

*Name
*Email
Date of birth
Age
*Tel (Home/ Office)
*Tel (HP)
Address
Occupation
*Placement Booking Date	** Note: Placements are only available from Mon- Fri 1pm – 9 pm & Sat:10am – 2pm
*My Placement Time

My Preferred Learning Type :
Check all that apply:	Premier (One 2 One) Buddy System - 2 learners + 1 tutor Mini System - 4 learners + 1 tutor
My Preferred Learning Programme :
Check all that apply:	General English Conversational English Intensive English Business Communication Exams Preparation Junior English Secondary English Holiday Programmes Adult Mandarin Children Mandarin Corporate Training
My Learning Objective :
I learn English because:	I would want to communicate with the world I need it for my MUET / IELTS/ TOEFL Exams I need it for better career advancement I need it for my business communication I will be travelling overseas soon I want to read English books and articles I can understand English movies & TV programmes I would like to maximize my learning potential Others:

* = required field