Class: Yogyakarta

  1. Registration: Class in Yogyakarta
A. Personal Details
  1. *
  2. *
  3. *
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  5. *
  6. *
  7. (valid email required)
  8. *
  9. *
  10. *
  11. *
B. Language Programs
  1. Language chosen:
  2. Current Proficiency of the language:
  3. *
  4. Emphasis:
  5. *
  6. *
  7. *
  8. Course Days:
  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. Learning hours include cultural programs?
C. Other
  1. Accommodation (we could reserve it)
  2. How did you know Wisma Bahasa:
  3. Have you experienced learning with Wisma Bahasa before?
D. Payment
  1. 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
E. Submit Your Registration
  1. By clicking on "Submit" below, you sre agreeing to the terms and conditions
Visitor Verification