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企业班报名表格 Enrollment of new class
心学习 Refresh Reconnect
接轨新世纪 Toward New Era
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* Indicates required question
Email
*
Your email
华文姓名 Chinese Name
Your answer
英文姓名 English Name
*
Your answer
出生日期 Date of Birth
*
MM
/
DD
/
YYYY
电话号码 Mobile No
*
Your answer
性别 Gender
*
Choose
男 Male
女 Female
选择课程语言 Preferred Language for the class
*
Choose
中文企广 Chinese Lamrim Class
英文企广 English Lamrim Class
地址 Address
*
Your answer
居住国家 Country of Residence
*
马来西亚 Malaysia
新加坡 Singapore
印度尼西亚 Indonesia
文莱 Brunei
菲律宾 Philippines
Other:
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