PALS IELTS ENROLLMENT 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
Student E-mail *
Mobile Number *

Area Code Phone Number
Phone Number

Area Code Phone Number
NHS TRUST (if applicable)
Class Type: *

Online Manila Branch Cebu Branch United Kingdom
Are you enrolling as an individual or a group? *

Individual Group
Services: *

IELTS 1 month skills enhancement training IELTS 1 year UNLIMITED GROUP TRAINING OET groupTraining (3 month program) IELTS 1on1 10 hours IELTS 1on1 20 hours IELTS 1on1 40 hours OET 1on1 10 hours OET 1on1 20 hours OET 1on1 40 hours IELTS Writing test correction (10 exercises) ESL 20 hours ESL 40 hours ESL 60 hours ESL 80 hours OET 1-Year unlimited group training OET 1 week crash course IELTS 1 week crash course
Additional Comments or Special Request for individual enrollment while group enrollment kindly provide the names of the other student in the group.

What payment method you wish to used? *

Bank electronic transfer Debit card Credit card Paypal Gcash

Philippine Anglo Language Solutions