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  • Language Center Application Form

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    rici rizky
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    The document is an application form for language programs at the Language Center of UNRIKA University in Batam, Indonesia. It requests personal information like name, date of birth, contact details, as well as the program(s) being applied for which include TOEFL test preparation, conversation classes, grammar lessons, and TKDA/TPA courses. Applicants must also provide their payment date and signature.

    Original Description:

    form pendaftaran TOEFL

    Original Title

    Book1

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    The document is an application form for language programs at the Language Center of UNRIKA University in Batam, Indonesia. It requests personal information like name, date of birth, contact details, as well as the program(s) being applied for which include TOEFL test preparation, conversation classes, grammar lessons, and TKDA/TPA courses. Applicants must also provide their payment date and signature.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views2 pages

    Language Center Application Form

    Uploaded by

    rici rizky
    The document is an application form for language programs at the Language Center of UNRIKA University in Batam, Indonesia. It requests personal information like name, date of birth, contact details, as well as the program(s) being applied for which include TOEFL test preparation, conversation classes, grammar lessons, and TKDA/TPA courses. Applicants must also provide their payment date and signature.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    LANGUAGE CENTER

    Committed to Quality
    Kampus UNRIKA: Jl. Batu aji Baru No 99 Batu Aji Kota Batam
    Telp: (0778) 392 752 Ext 18 Fax: (0778) 391 868
    E-mail: lc@unrika.ac.id

    APPLICATION FORM
    1 PERSONAL DATA
    Title Mr/Mrs/Miss/Ms stration No.
    Name

    Student' ID
    Department
    Place/Date of Birth
    Sex
    Phone Whatsapp - -
    Email
    Postal Addres
    City
    Province
    2 PROGRAMS
    A : TOEFL (Test)
    B : TOEFL (Preparation PAYMENT DATE SIGNATURE
    C : CONVERSATION
    D : GRAMMAR
    E : TKDA/TPA

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