MLI - Maher Language Institute

Enrolling for a course involves:

Applicant must be 18 and older at time of course commencement.
* Required information

Please make sure you read the Terms of Enrollment.

Step 1: Registration and Course Selection.

Selected Course

*Course:

Personal Information

*First Name:

Middle Name:

*Last Name:

*Date of Birth (Day/Month/Year)

*Gender:

*Nationality:

*Occupation:

*Address:

*Telephone:

*Mobile:

Fax:

*Email:

Emergency Contact

*Name:

*Relationship:

*Tel/Mobile:

*Email:

Discount Code

Discount Code (must be valid to ensure correct registration)

Payment Method

Paypal

Bank Cheque

Telex Transfer

Accommodation:

Would you like MLI to arrange accommodation for you? Yes No

If yes, would you like a room in:

University city:

Yes No

Nearby hotel

Yes No

A furnished apartment

Yes No

Dates of Accommodation: From

Dates of Accommodation: To

Comments

Please enter your comments here:

Declaration

	I declare the information provided in this application is true and correct
	I have read, understood, and agreed to abide by the Terms of Enrollment of MLI, including the policies for refunds. I have retained a copy of the Terms of Enrollment and a signed copy of this Application Form.
	I will attach/email a letter of reference and/or evidence of my current language level (i.e., course taken with title and grade, proof of any other relevant experience). (upload available after initially completing this form)