Class: E-Learning

  1. Registration: E-Learning Class
A. PERSONAL DETAILS
  3. *
  4. *
  5. *
  6. *
  7. (valid email required)
  8. *
  9. *
  10. *
  12. *
  13. *
  14. *
  15. Former/New Student:
  17. If you were a Former Student, where did you study at Wisma Bahasa? (NOTE: Only for Former Students)
B. LANGUAGE PROGRAM
  1. Language chosen:
  3. Current Proficiency of the language:
  6. Emphasis:
  8. Special requests related to your interests:
  11. *
  14. Monday
  16. Tuesday
  18. Wednesday
  20. Thursday
  22. Friday
  24. Saturday
  26. Sunday
  28. NOTE:
    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;
    Each session: 105 minutes.
C. PAYMENT
  1. Method of Payment
  3. Payment Account
  6. NOTE:
    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 PayPal

D. OTHER
  1. How did you know Wisma Bahasa:
E. TERM AND CONDITIONS
  1. 1. 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. Any class cancellation shall be notified no later than one (1) hour prior to class commencement. Otherwise, one is subject to 50% of charge. Exception will be given to those who are engaged in emergency situation such as being sick, etc.
    7. Both the Students and Wisma Bahasa have the right to terminate the Services Agreement for any reason whatsoever, including ceasing services that are already underway. If the Wisma Bahasa terminates the provision of its service it will make a 100% refund on the remaining sessions. No refunds shall be offered to the Student if the Student terminates the agreement, where a service is deemed to have already been provided and is, for all intents and purposes, already underway. If, subsequent to the payment in advance being made, the agreement is terminated by the Student before the services are underway, there shall be a refund of 75% for the unused services.
F. SUBMIT
  2. By clicking on "Submit" below, you are agreeing to the terms and conditions above.
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