1.     Student information

 
For what program do you want to enroll? *


 
Student's first name *

 
Student's surname *

 
Student's date of birth *

 
Student's gender *


 
Student's nationality

 
Student's mother tongue(s)

 
Student's second language

 
Employer

 
Phone number

 
Home address *

 
Do you give your consent for the publication of pictures or other photographic material?

     
 
First name *

 
Surname *

 
Date of signature *

Thank you for your enrolment. You will receive, within 15 minutes, a confirmation of your enrolment. Please sign and email this confirmation to hongkong@languageone.org
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