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registration
information
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Personal Information
*
Name:
*
Surname:
*
Gender
Male
Female
*
Birthday:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
*
Street:
*
Code:
*
City:
*
Land:
Germany
Australia
Austria
Belgium
Bulgaria
Canada
Cyprus
Denmark
Egypt
Finland
France
Greece
Hungary
Ireland
Israel
Italy
Jordan
Kuwait
Liechtenstein
Luxembourg
Netherlands
Norway
Poland
Portugal
Romania
Russia
Slovak Republic
Slovenia
Spain
Sweden
Switzerland
Syria
Turkey
United Kingdom
United States
Yugoslavia
Other
*
Telephone:
*
Fax:
E-Mail:
*
Course
*
Beginner
Intermediate
Advanced
Accomodation
*
Familly hosting
Private room
Appartement
None:
Duration of stay
*
Starting Date:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
07
08
09
2005
Ending Date:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
07
08
09
2005
Personal comment
Transaction
*
In order to start processing your application please transfer as soon as possible at least the registration costs (30 € ) to the following bank account:
Name:
Minas Awakian
Bank:
DeutscheBank AG
Konto.Nr.:
360 4907523 00
BLZ:
35070024
IBAN:
DE07 3507 0024 0490 7523 00
BIC (SWIFT-CODE):
DEUTDEDB350
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2004 West Armenian Language Center, All rights reserved