Class: E-Learning Registration: E-Learning ClassA. PERSONAL DETAILSMr.Mrs.Ms.Full Name:*(required)Place of Birth:*(required)Birth date: *(required)Country / Nationality: Please select..... Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo (DRC) Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland FrenchFrench Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic of (South Korea)Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe*(required)E-Mail:*(required)What Video Calling App will you use? (Write the app & your account). The applications we use: Skype, Zoom, Ms Team, Google Meet, and Webex.*(required)Telephone / Mobile Phone:*(required)Organization: Please select below....Government OrganizationNGO (Non-Government Organization)University/SchoolCompanyPersonalThe name of your organization/company/university/school:*(required)Occupation:*(required)Education:*(required)Languages Spoken:Former/New Student:New StudentFormer StudentIf you were a Former Student, where did you study at Wisma Bahasa? (NOTE: For Former Students ONLY)Wisma Bahasa YogyakartaWisma Bahasa JakartaWisma Bahasa BaliE-Learning/OnlineImmersionB. LANGUAGE PROGRAMLanguage chosen:IndonesianJavaneseSundaneseSelected Program bahasa Indonesia for (if you choose Indonesian):General Purposes (GILT) Intercultural UnderstandingDiplomatResearchProfessionalUKBI PreparationKids >6 y.o.Tour GuideCustomizedCurrent Proficiency of the language:NoneBeginner/SurvivalIntermediateAdvancedExplain your proficiency:Emphasis: SpeakingListeningReadingWritingSpecial requests related to your interests:Expected result upon the completion of the training:*(required)Course Start Date: *(required)Course End Date:Preferred Days:MondaySession 1Session 2Session 3Session 4 Session 5 TuesdaySession 1 Session 2Session 3Session 4 Session 5 WednesdaySession 1 Session 2Session 3Session 4 Session 5 ThursdaySession 1 Session 2Session 3Session 4 Session 5 FridaySession 1 Session 2Session 3Session 4 Session 5 SaturdaySession 1 Session 2Session 3SundaySession 1 Session 2NOTE: (Each session: 105 minutes)Session 1: 08.00 - 09.45; Session 2: 10.15 - 12.00; Session 3: 13.00 - 14.45;Session 4: 15.15 - 17.00; Session 5: 17.15 - 19.00.C. PAYMENTMethod of PaymentPayment Link (Recommended)Telegraphic TransferTransfer (Personal Account)Transfer (Company / Organisation Account) PayPal Note: Payment AccountPersonalCompany/Organization AccountIf it is a company/organization account, please write the contact name and email:NOTE: WISMA BAHASA Bank Acc. No. 026 1978 141 - Swift code: BNINIDJAYGY - PT. Bank Negara Indonesia, Jl. Adisucipto No. 137, Yogyakarta. Please send us a copy of the telegraphic transfer.Payment 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.D. OTHERHow did you know Wisma Bahasa:Wisma Bahasa Website Friend(s)My OrganizationFormer StudentOnline AdvertisingFacebookTwitterInstagramGoogle Brochuresor OtherPlease tell us how, if you chose Other:E. TERM AND CONDITIONS1. The payment for the course should made in advance.2. The payment is not refundable. 3. In case the payment is made by telegraphic transfer, please send us a copy of the telegraphic transfer..4. To test the Internet connection, a trial class is required for approximately 30 minutes prior to the first class.5. In case some technical problem with the internet connection takes place, the incomplete time will be substituted at the end of the package or the next class or based on the appointment between teacher and learner. 6. Class cancellation notification less than 24 hours before class commencement is subject to a 50% charge. WB gives the exception to those who are engaged in emergencies.7. Both student and Wisma Bahasa have the right to terminate the service agreement for any reason, including ceasing services already underway. If Wisma Bahasa ends its service provision, it will make a 100% refund on the remaining sessions. Wisma Bahasa does not offer reimbursement to the student if the student terminates the agreement, where service is deemed to have already been provided and is already underway for all intents and purposes. If after the payment in advance is made, the agreement is terminated by the student before the service is underway, there shall be a refund of 75% for the unused services.F. SUBMITBy clicking on "Submit" below, you are agreeing to the terms and conditions above.VISITOR VERIFICATION:I'm not a robot