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Please complete the registration form. You will receive a
confirmation email within 48 hours.
Registration Form
Program Data
Course
City I want to study in
Choose a city
Beijing
Shanghai
My level of Chinese
Choose a level
total beginner
elementary
lower intermediate
intermediate
upper intermediate
advanced
Course I want to apply for
Choose a course
Standard 20
Intensive 30
Long Duration
Private Tutoring
Combined 25 | 30
Work Experience
50+ Program
Summer Homestay Program
Summer Full Camp
Summer Day Camp
Summer Family Package
Other, please specify
I plan to start on
Day
1
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31
Month
1
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Year
2009
2010
2011
2012
2013
I plan to finish on
Day
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31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2009
2010
2011
2012
2013
Accommodation
No.
Yes, please arrange my accommodation as requested below:
Single Room Shared Apartment
Private Studio Apartment
Homestay
Other, please specify
Check-in Date
Day
1
2
3
4
5
6
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9
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11
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28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2009
2010
2011
2012
2013
Check-out Date
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
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24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2009
2010
2011
2012
2013
Airport Pick-up
No.
Yes, please arrange an airport pickup for me.
Personal Information
How did you hear about Mandarin House?
I attended a Mandarin House course before
What year
Which city
Beijing
Shanghai
Internet
Website
Advertisement
Publication
Friend
Name
Company
Name
Brochure
Where
Other, please specify
First Name
Last Name
Date of Birth
Day
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17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2010
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
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1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
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1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
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1946
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1938
1937
1936
1935
1934
1933
1932
1931
1930
Gender
Male
Female
Nationality
please choose
China
Australia
Austria
Belgium
Brazil
Canada
Denmark
Finland
France
Germany
Hong Kong
Italy
Japan
Netherlands
Norway
Portugal
Singapore
South Korea
Spain
Sweden
Switzerland
Taiwan
United Kingdom
United States
.............................................
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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Bahamas
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Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Heraegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
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Bulgaria
Burkina Faso
Burundi
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Canada
Cape Verde
Cayman Islands
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Chad
Chile
China
Christmas Islands
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Colombia
Comoros
Congo
Congo Democratic Republic
Cook Islands
Costa Rica
Cote d'lvoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands(Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
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India
Indonesia
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
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Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Neetherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northem Mariana Islangds
Norway
Oman
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Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reinion
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
St.Helena
St.Pierre and Miquelon
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emitates
United Kingdom
United States
United States Minor Outlying Islangds
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Viet Nam
Virgin Islands(British)
Virgin Islands(U.S.)
Wallis and Futuna Islands
Western Sahara
Zambia
Zimbabwe
Native Language
please choose
Chinese (simplified)
Chinese (traditional)
Danish
Dutch
English
Finnish
French
German
Hebrew
Italian
Japanese
Korean
Norwegian
Polish
Russian
Spanish
Swidish
Turkish
.............
Arabic
Bulgarian
Catalan
Croatian
Czech
Estonian
Greek
Hindi
Hungarian
Icelandic
Indonesian
Latvian
Lithuanian
Portuguese
Romanian
Serbian
Slovak
Slovenian
Tagalog
Thai
Ukrainian
Urdu
Vietnamese
Present Address
street, city, country, postal code
Phone
Mobile
E-mail
Payment
Bank Transfer (without charges to Mandarin House)
PayPal (3% handling fees will be added)
Credit Card (only in person)
Cash (only in person)
Other, please specify
Questions
Your Signature
I certify that the information I filled in is complete and genuine. I have read and agree to the
General Terms and Conditions.
Signature
オンライン申込
Choose a city
Beijing
Shanghai
Choose a level
total beginner
elementary
lower intermediate
intermediate
upper intermediate
advanced
Choose a course
Standard 20
Intensive 30
Long Duration
Private Tutoring
Combined 25 | 30
Work Experience
50+ Program
Summer Homestay Program
Summer Full Camp
Summer Day Camp
Summer Family Package
Other, please specify
info@mandarinhouse.cn
中国語テスト
Wǒ de jiā gōngyuán.
1、我的家
公园。
Kàojìn
靠近
pángbiān
旁边
fùjìn
附近
jìn
近
パンフレット
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