We recommend using a desktop or tablet to complete this online form for the best experience. If you only have a mobile, you can also use your phone.

Please note: Registration is compulsory for each student.

Student Registration

Student Contact DetailsStudent's first nameStudent's last nameStudent's emailPhone

Student Personal DetailsDate of birthDoes the student require a student visa?Upload a scanned copy of the student's passport

Upload File

Max file size 10MB.

Uploading...

fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Study preferencesPreferred study start date (Use calendar to select date)

Agency DetailsAgency nameFull name of person in chargeEmail of person in chargeComments

Thank you for registering a new student with Speak English Institute. We will be in touch soon to finalise the booking.

Oops! Something went wrong while submitting the form.

Form to completed by agency.