Jl. Affandi, Gang Bromo #15A, Mrican, Yogyakarta 55281, Indonesia

+62 274 561627 / +62 274 520341 info@wisma-bahasa.com

Class: Yogyakarta

  1. Registration: Class in Yogyakarta
A. PERSONAL DETAILS
  1. *
  2. *
  3. *
  4. *
  5. *
  6. *
  7. (valid email required)
  8. *
  9. *
  10. *
  11. *
  12. *
  13. *
  14. Former/New Student:
  15. If you were a Former Student, where did you study at Wisma Bahasa? (NOTE: Only for Former Students)
B. LANGUAGE PROGRAM
  1. Language chosen:
  2. Current Proficiency of the language:
  3. *
  4. Emphasis:
  5. *
  6. *
  7. Course Days:
  8. NOTE:
    * Open at session 1 - 3
    ** Open at session 1 - 2
  9. Prefered Sessions or Hours (Each session: 105 minutes) :
  10. 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
  11. SUPPORT ACTIVITIES [optional]:
  12. Learning hours include fieldtrips?
  13. General/Cultural Fieldtrips:
  14. Specialization Fieldtrips:
  15. Learning hours include cultural programs?
C. OTHER
  1. Accommodation (we could reserve it)
  2. How did you know Wisma Bahasa:
D. PAYMENT
  1. Methods of payment:
  2. Payment Account
  3. NOTE:
    Telegraphic transfer to:
    GREGORIUS HARYANA / WISMA BAHASA,
    A.C. 003-043-4931,
    PT. Bank Negara Indonesia,
    Jl. Adisucipto 37, Yogyakarta, Indonesia.
    Please send us a copy of the telegraphic transfer.

    PayPal Account: Wisma Bahasa PayPal

    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.

E. TERM AND CONDITIONS
  1. 1. In case the payment is made in US dollars, the money should be issued no earlier than year 2001.
    2. In case the payment is made by telegraphic transfer, please send us a copy of the remittance.
    3. Any class cancellation shall be notified no later than 24 hours prior to class commencement. Otherwise, one is subject to 50% of charge. Cancelation notification should made and received during working hours and day. Exception will be given to those who are engaged in emergency situation such as being sick, etc.
    4. Cash and Credit Card payment is made from Monday to Friday during working hours, 8 AM to 4 PM.
F. SUBMIT
  1. By clicking on "Submit" below, you sre agreeing to the terms and conditions
VISITOR VERIFICATION