Course Enrolment Form Preferred Course * Student Name (Chinese) * (Pinyin) * (English) * Gender * Male Female ID No. / Passport No. School Name Level * Address (Street) Rua (Number) N.° (Floor) Andar (Flat) Moradia (Building) Edifício (Block) Bloco Region Macau Taipa Coloane Telephone (home) * (office) (mobile) * Email * For Students under 18 years old: Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year1993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Guardian Name Relationship Telephone (home) (office) (mobile) Personal Information Collection Statement (see Law 8/2005) English for Asia will deal with all collected information in confidentiality based on Macao Personal Data Protection Act and relevant instructions of Office. Please tell us your reason or objective for studying English and tell us your expectations of your course (please try to answer in English) How did you hear about English for Asia? (Please tick the appropriate box.) * Facebook E-newsletter Web Credit Card Advertisement Forum Bus Advert Newspaper Schoolmate Friend or Relative Leave this field blank
