Branch/Partner App – Language Academy Registration

Title*

Select Mr. Ms. Mrs. Dr.

First Name*

Last Name*

Full Name (as per Passport)*

Gender*

Male
Female
Others
Prefer Not to Say

Date Of Birth (DD/MM/YYYY)*

Nationality*

Choose an option Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor (Timor-Leste) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Macedonia Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe

Personal NIF (Número de Identificação Fiscal)*

NISS/Social Security Number*

Residence Permit Status*

Residence Permit Number*

Residence Permit Expiry Date*

Email*

Multi-line Address*

Country/Region*

City*

Region*

Zip / Postal Code*

Phone* (+351)

WhatsApp Contact (if available)

*If available, our information will be shared by WhatsApp too!

Educational Qualification*

Select A Level / Higher Secondary Bachelor’s Master’s Other

What session would you plan on participating?*

Morning
Afternoon
Evening

Preferred Mode of Study?*

Online
On-Campus
Blended Learning

Portuguese Knowledge*

Yes
No

Basic English required to attend lessons as a medium of instruction – Classes expectations policy

Have you enrolled or completed Level A1 or A2 in another institution?*

Yes
No

How did you hear about us?

Comments / Special Request / Promo – Discount Coupon

I have read and agreed with policies, Classes expectations policy, Service charges related information, General Terms & Conditions, Data Protection Policies, and Finance & Invoice Policy.*

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