Fill in the registration form below. On submitting this form, you will be listed as a candidate for the course or test you choose. Please note, however, that you will not be registered as a course participant or a test candidate until we process the payment of your course or test fee.
 

Personal Data

  • Complete Name

Male  Female
  • Place and Date of Birth
  • Educational Degree 
S1 S2 S3 Other (please specify)
  • Current Employment
  • Institution 
  • Postal Address 
  • Telephone 

(Include area code)
  • Facsimile

(Include area code)
  • E-mail Address

What kind of service would you like to get?

Language Training (please select a course from the dropdown menu below)

Have you ever joined a course at this center before?
Yes  No

If yes, please select the course you took and write the year you took it.
   Year:

Language Testing (please select a test from the dropdown menu below)

 

Have you ever taken a test at this center before?
 Yes  No

If yes, please select the test you took and write the score you got.
 Score:


 
[an error occurred while processing this directive]

Copyright © 1999 ppb ugm. All rights reserved.
Last Updated: .