STEP 1 STEP 1

Are You Malaysian? Are You Malaysian? Yes No

STEP 2: Which centre is most convenient for you? STEP 2: Which centre is most convenient for you?

Centre* Centre*Bukit MertajamCherasIpoh Pasir PutihIpoh GardenKepongKlangKluangKLCCMelakaMuarPJ SS2Puchong (IOI Mall)Puchong UtamaSerdangSelayangSri PetalingTaipingTeluk Intan

STEP 3: PROVIDE YOUR DETAILS STEP 3: PROVIDE YOUR DETAILS

Title Title Mr Mrs Ms

Full Name / Given Name*

Surname*

Gender Gender Male Female

Nationality* Nationality*AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzechia (Czech Republic)Democratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEswatini (fmr. "Swaziland")EthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGuatemalaGuineaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLibyaLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMexicoMicronesiaMoldovaMongoliaMoroccoMyanmarNamibiaNauruNepalNetherlandsNew ZealandNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestine StatePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaudi ArabiaSenegalSerbiaSierra LeoneSingaporeSlovakiaSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVenezuelaVietnamYemenZambiaZimbabwe

Contact Details Contact Details

Phone

Mobile*

Email*

message

STEP 4: Course(s) of Interest: STEP 4: Course(s) of Interest:

Chose One or Multiple Courses Chose One or Multiple Courses Erican International English Cambridge English Plus Business English IELTS Preparation Course Young Learners English Plus Mandarin Course Japanese Course

Number