PALS Registration Form

Philippine Anglo Language Solutions

www.palsolution.net
Student Registration Form

Fill out the form carefully for registration
Student Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Gender
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail Address *
Mobile Number *

Area Code Phone Number
Phone Number

Area Code Phone Number
What type of training or Tutorial are you interested in? *

IELTS OET ESL
What module are you planning to take? *

IELTS Academic Module IELTS General Module
Which of these IELTS course are you interested to enroll? *

IELTS 1 month unlimited program IELTS 3 months unlimited program IELTS 6 months unlimited program IELTS 1 year unlimited course IELTS 10 hours 1-on-1 IELTS 20 hours 1-on-1 IELTS 30 hours 1-on-1 IELTS 40 hours 1-on-1
Which of these OET course are you interested to enroll? *

OET 1 month unlimited program OET 3 months unlimited program OET 6 months unlimited program OET 1 year unlimited program OET 10 hours 1-on-1 OET 20 hours 1-on-1 OET 30 hours 1-on-1 OET 40 hours 1-on-1
What type of ESL course are you interested to enroll? *

ESL 20 hours ESL 40 hours ESL 60 hours
Please choose a date below when you would like to start your training? *

Month Day Year
Date
Please choose a date for your orientation and time. Make sure to choose the exact time zone you are following below. *

Additional Comments or Special Request for individual enrollment? ex. skills to focus
What payment method you wish to used? *

Bank electronic transfer Debit/Credit card Paypal Gcash
How did you know about PALS? *

Google Instagram Facebook Reffered by a friend
Please type below the name of the person who reffered you
Please choose below the program you would like to avail.
PLEASE DEPOSIT ENROLLMENT FEE TO

BANK NAME: BANK OF THE PHILIPPINE ISLANDS
BANK ACCOUNT NAME: Precious Jewel Quilanita Crick
ACOUNT NUMBER: 1359-2063-52
ACCOUNT TYPE: PESO SAVINGS

Gcash payments must be made payable to number 0956-725-7895

Once payment has been completed, kindly please upload below the screenshot or proof of payment.
Please upload proof of payment *

Browse Files

Cancel of

Courses: *

Categories: All

All

IELTS

OET

ESL

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IELTS

IELTS Unlimited Program 3,500.00 PHP

Please choose below: 1 Month Unlimited Program; 3 Months Unlimited Program 6 Months Unlimited Program; 1 Year Unlimited Program;

IELTS Unlimited Packages

IELTS 1-on-1 Package 4,500.00 PHP

Please choose below: 5 hours, 10hours; 20 hours Package; 30 hours package; 40 hours Package; 60 hours Package

IELTS 1-on-1 Packages

OET

OET Unlimited Program 4,500.00 PHP

Please choose below: 1 Month Unlimited Program; 3 Months Unlimited Program; 6 Months Unlimited program; 1 Year Unlimited Program;

OET Unlimited Packages

OET 1-on-1 Package 4,500.00 PHP

Please choose below: 5 hours, 10 hours 1-on-1; 20 hours 1-on-1; 30 hours 1-on-1; 40 hours 1-on-1; 60 hours 1-on-1

1-on-1 Packages

ESL

ESL Package 9,000.00 PHP

Please choose below: 20 hours; 40 hours; 60 hours

ESL Packages

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Subtotal 0.00 PHP Tax 0.00 PHP Total 0.00 PHP

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Philippine Anglo Language Solutions