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 Year1992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 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
