Class: Bali Registration: Indonesian Class in BaliA. PERSONAL DETAILSMr.Mrs.Ms.Full Name(required)Birth Date: (Tahun/Bulan/Tanggal)(required)Country / Nationality: Please select..... 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(NOTE: Only for Former Students)Wisma Bahasa YogyakartaWisma Bahasa JakartaWisma Bahasa BaliE-Learning/OnlineB. LANGUAGE PROGRAMCurrent proficiency of the bahasa Indonesia:NoneBasic / SurvivalIntermediateAdvancedExplain your proficiency:Emphasis:SpeakingReadingListeningWritingSpecial requests related to your interests:Expected result upon the completion of the training:Course start date: (Tahun/Bulan/Tanggal)(required)Course end date: (Tahun/Bulan/Tanggal)Preferred days:MondaySession 1Session 2Session 3Session 4 TuesdaySession 1Session 2Session 3Session 4 WednesdaySession 1Session 2Session 3Session 4 ThursdaySession 1Session 2Session 3Session 4 FridaySession 1Session 2Session 3Session 4 SaturdaySession 1Session 2Session 3Session 4 NOTE: Session 1: 08.00 - 09.30; Session 2: 10.30 - 12.00; Session 3: 13.00 - 14.30;Session 4: 15.00 - 16.30; Each session: 90 minutes.C. PAYMENTMethods of payment:Transfer (Personal Account)Transfer (Company / Organisation Account)Wisma Bahasa PayPalCredit Cards CashPayment Link (Preferred)Payment AccountPersonalCompany/Organization AccountIf it is a company/organization account, please write the contact name and email:Bank Account: WISMA BAHASA No. AC. 026 1978 141 Swift code: BNINIDJAYGY PT. Bank Negara Indonesia, Jl. Adisucipto No. 137, Yogyakarta. Please send us a copy of the telegraphic transfer. Wisma Bahasa PayPal Account: Wisma Bahasa PayPalPayment link is the simplest way to make payments by Credit Card (Visa, Mastercard, etc.). You just click on the payment link that we sent to email, WhatsApp, SMS, etc. as your requested.Address to send an invoice (when payment is done by company or organization)D. OTHERSHow did you know Wisma Bahasa:Wisma Bahasa Website Friend(s)My OrganizationFormer StudentOnline AdvertisingFacebookTwitterInstagramGoogle Brochuresor OtherPlease tell us how, if you chose Other:E. TERMS AND CONDITIONS1.For personal account, payment should be made in advance. This regulation is also applied for re-buying student. Wisma Bahasa will automatically suspend the lessons if payment is not been received. 2. The payment should be transferred in full payment. 3. In case the payment is made by telegraphic transfer, please send us a copy of the telegraphic transfer. 4. Any class cancellation shall be notified no later than 1 working day prior to class commencement. Otherwise, one is subject to 50% of charge. 5. To indicate the presence in the class, every student is to affix their signature on the attendance list we have prepared every time they attend the class. 6. At the beginning of the first meeting, the teacher will provide short briefing to his/her students about the schedule, syllabus, and class terms and conditions.By submitting this form you agree to the terms and conditions above.Visitor Verification:3+3 equals