ASIS German Language Course Enrollment Form

Alfons Spitzendobler Foundation

International German Language School

GE-017-5190

Pantang-Ga East

Greater Accra, GHANA

For questions/concerns, please contact:

Bernard Ayisi: 0505543388,

Paul Adjel: 0265595633, or

Vida Adjel: 0546945956

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* 1. Please enter your full name:

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* 2. Please enter your address:

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* 3. Please enter your phone number:

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* 4. Please enter your e-mail address (if you do not have one, skip this question):

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* 5. Date of Birth

DD/MM/YYYY

Date

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* 6. Place of Birth

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* 7. Citizenship/Nationality

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* 8. Do you have a High School Diploma?

Yes

No

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* 9. In which language course levels would you like to enroll? (Select all that apply)

A1

A2

B1

B2