MR.      Ms.        
First Name:     Family Name:
Date Of Birth: / /      
(dd/mm/yy)
         

Address:          
Street:     City:
Province:     Postal Code:
Telephone:     E-mail:

Your Visa Status in Canada :        
       
       
 
           
 
               
Term of Study:      
From (dd/mm/yy) / / for month(s)  

Date of Speaking Level Test (dd/mm/yy) : / /
Time:

Course of Study:        
           
Super Intensive Course
Full-Time Course
- -
Part-Time
AM ESL
- - -
Speaking(3hrs)
AM Speaking
- - -
Speaking(1.5hr)
8:50 AM
10:30 AM
1:00 PM
2:45 PM
 
Listening
-
10:30 AM
1:00 PM
2:45 PM
4:30 PM
Writing
1:00 PM Everyday Writing
2:45 PM Essay Writing
-
Pronunciation
- -
1:00 PM
2:45 PM
-
           
I declare that the above information is correct and complete. I have read and accept everything on this form.
       
             
 
 
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