Student (Please enter parent information)

* Nationality
* Name * English Name
Nick Name * Birthday (ex.19801213)
* Sex M F
* Email * Mobile Number
* House Address
House Address (ETC)
* Course General English * Accomodation
* Application Period * Start date of Class - -
* Level of English * Departure - - ~ - -
* Kakao ID / LINE ID * Medical Issues(Allergies)
* Emergency contact(Name) * Relationship

Memo

Memo

Departure

Pickup Yes Flight number
Passport NO. Visa (If you stay for more than 60days, you must issue it every 60days)
Are you public - officer ?