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Enrolment Form

Name* Name on your passport
／given name（first name）
／surname（family name）
Date of Birth* Date Month Year
Country*
Home Adress*

Phone number*
*input if you have contact number available
Job*
Sex* Male Female
Passport Number
input if you have passport now		 (example)【TG1234567】
Expiry date of passport
input if you have passport now		 Date Month Year
Applying type of program Applying term*
Applying type of stay*

 Homestay
Residence stay
Applying school(program)* English as second Language(FBI）
English & Tourism（FBI＋TPAF）
Elementary School（NPS）*available for who is under16 years old
Kindergarten（NPSK）*Under 6 years old
Emargency Contact* Name
Relationship to Applicant
Home Address
TEL
input if you have contact number available
Arrival date in Fiji* Date Month Year
Departure date of Fiji* Date Month Year
Your English Level (Estimate) * Beginner
Lower Intermediate
Upper Intermediate
Advance
Any Allergy or Sickness* Yes　 »details
No
Email Adress*
Confirm
Anquete Do you smoke?
Yes　 No

Are you OK staying with pets?
Yes　 No
Question/Request Write down your question or inquiry.