English Name of Student *
Chinese Name of Student
Date of Birth (DD/MM/YYYY)
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
MM
01
02
03
04
05
06
07
08
09
10
11
12
-
YYYY
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
Age
Sex
M
F
Contact Person *
Tel / Mobile *
Email Address *
Address
1st Language
2nd & 3rd Language
Name of School / Kindergarten
If the school teaching Mandarin/Chinese, please state briefly (e.g. no. of hours/class per week, difficulty in program content, level of satisfaction, etc.).
How do you comment the student's Mandarin/Chinese Level?
Learning goal and course arrangement expectation (e.g. class frequency per week, assignment, etc.)
Are you planning to attend any Mandarin/Chinese examination? If yes, please state the name of examination and when you will take it.
Any official Mandarin/Chinese examination did you take? If yes, please state the name of the examination, the result and the year taken.
Anything we need to know about the student?(e.g. student interest, health condition, allergy, etc.)
Preferred schedule
Preferred commencement date