Registration Form Name * First Name Last Name Email * Phone Number Birthday MM DD YYYY Nationality Passport # Residence * Gender Your Khmer Level Beginning Intermediet Advanced How long have you studied Khmer? Study schedule type of classes * Private Class (Regular) Private Class (Irregular) Online class Intensive Course (group) Full time Course (group) Part time course (group) Khmer Survival Which branch? * Our school has two locations Phnom Penh branch Siem Reap branch What days and what times are better for you? * would you prefer....... in person class Online class When would you like to start your class? * Thank you!
