Are You Malaysian? Are You Malaysian? Yes No

Which centre is most convenient for you? Which centre is most convenient for you?

Centre* Centre*KLCCCherasPuchong UtamaMelakaTeluk IntanIpohIpoh GardenBukit Mertajam

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Title Title Mr Mrs Ms

Full Name / Given Name*

Gender Gender Male Female

Nationality* Nationality*IndonesiaThailandIndia

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Course(s) of Interest: Course(s) of Interest:

Chose One or Multiple Courses Chose One or Multiple Courses Erican Young Learners (EYL) Erican Cambridge English (ECE) Erican English Conversation programme (EEC) Erican Business English (EBE) Erican English Grammar (EEG) Erican International English (EIE) IELTS Preparation Course