ENROLMENT FORM

Personal Details
Title
Family Name	*
Given Names	*
Country of Bitrh	*
Language/s Spoken	*

Contact Details
Home Phone	*
Mobile Phone
Work Phone
Email	*
Facsimile
Mailing Address (street)	*
(suburb)	*
(postcode)	*

JAPANESE PROFICIENCY

1. Have you learnt Japanese before?

yes (if yes, answer Q2 & Q3)

no (if no, go to COURSE PREFERENCES below)

2. When did you learn Japanese ?

Where did you learn Japanese?

How did you learn Japanese?

3. Do you read/write?

Hiragana

Katakana

Kanji

Course Preferences (Please select the course you are interested in) *** please refer to the course guide ***

Course

Lengend:

B = Beginner, I = Intermediate, A = Advance

Gen = General Course, Con = Conversation Course, Int = Intensive Couse

Pri = Private Course, Sur = Survival Japanese

Your Day & Time Availability (please indicate which days/times you are available to attend)
Day
Time

About Us

JapaneseMelbourne has many years of expereince to teach Japanese, we provides an experience and qualified teachers to teach you Japanese. This is our slogan, "Learn Japanese the way the Japanese learn it..."

ENROLMENT FORM

About Us

From the gallery (End of term party Feb 2007)