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English for Communication | Alvin Bersamin
Address:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Telephone number: _____________ Mobile: __________________________
Email address: ________________________________________________________
Reason for learning English: ___ Business ___ Pleasure ___ Exams
___ Study ___ Others (please specify) _________________
How many hours a day do you want to study? _________________ (hours)
What day would you like to study? ________________________________________
What date do you want to start? _________________________________________
Signature: _________________________
___________________________________________________________________________
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