ENROLMENT FORM
Name: *** Sex:
Address (Home) :
Address (Office) :
Phone (Home) : Handphone : ***
Phone (Office) : Fax :
Email: ***
I/C No : Date of Birth :
Nationality : Occupation :
 
Please tick:
Sign Language Basic Level (15 sessions, 22 1/2 hours - RM280) ; Textbooks included.
Sign Language Level 1 (15 sessions, 30 hours - RM260) ; Materials included.
Sign Language Level 2 (15 sessions, 30 hours - RM260) ; Materials included.
Sign Language Level 3 (15 sessions, 30 hours - RM260) ; Materials included.
Reason for enrolment:
Interpret
volunteer to work with the Deaf
Communicate with a Deaf Child/Relative/Friend
Preach or Evangelist
Other
ENQUIRIES PART (if any)
Notes: