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:
B. Language Programs
  1. Language chosen:
  2. Current Proficiency of the language:
  3. *
  4. Emphasis:
  5. *
  6. *
  7. Course Days:
  8. Prefered Sessions or Hours (Each session: 105 minutes) :
  9. 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
  10. SUPPORT ACTIVITIES [optional]:
  11. Learning hours include fieldtrips?
  12. General/Cultural Fieldtrips:
  13. Specialization Fieldtrips:
  14. 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. 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. Submit Your Registration
  1. By clicking on "Submit" below, you sre agreeing to the terms and conditions
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