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Language Student Enrollment Form ( Please use browser Internet Explorer to fill below details )

Hindi
Tamil

English

French

Chinese

Dutch

German

Greek

Italian

Japanese

Korean

Malay

Russian

Spanish
Dear Student,
     If you want to learn any of the language shown above - here is a great opportunity to learn from the
real Language Experts. Please fill the below Language Student Enrollment Form to become eStudent for
the Language.
 
*First Name
Middle Name
*Last Name
Sex: Male    Female
*Age
*Parent Name
*Country
*Residence Phone - -
(Country code - State code - Number)
*Mobile no.
*Primary Email id
Secondary Emai id
Parent Email id
Enrollment for:
Language Level One to One
Class required
Start Date
(DD/MM/YYYY)
End Date
(DD/MM/YYYY)
Please mention Language and Level for which coaching required if they are not found above:
Preferred Class Timings:
Monday Morning From To Evening From To
Tuesday Morning From To Evening From To
Wednesday Morning From To Evening From To
Thursday Morning From To Evening From To
Friday Morning From To Evening From To
Saturday Morning From To Evening From To
Sunday Morning From To Evening From To

Please enroll for the eTuition and send details to effect payment
                                      
*Mandatory fields
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