Your Name

Language Course
-- Please Select --EnglishGermanFrenchSpanishChineseArabicPortugueseItalianRussianHausaIgboYoruba

Start Date

End Date

Your Home Address

Phone Number

Attestation
I hereby agree to the terms and conditions of Koos-End Languages Center. I shall respect the regulations of the center, and respect the teachers and staff at the center. I understand that money paid for services are not refundable and that courses begins and ends according to the stipulated dates filled on this form.