+919217576882
language.culturehub@gmail.com

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Email

language.culturehub@gmail.com

Address

A2/169 Basement Safdarjung Enclave South Delhi 110029

Phone Number

+919217576882

LANGUAGE & CULTURE HUB

+919217576882

STUDENT
APPLICATION FORM

1. COURSE DETAILS (TICK ✓ ONE)

COURSE DETAILS

Intensive Course ~ 30 Hours per Week General / Flexi Course ~ 10–15 Hours per Week

Languages applied for:

Level (if known):

Beginner Elementary Intermediate Advanced

Preferred Start Date:

Preferred Class Timing

2. LANGUAGE PROFICIENCY

TO HELP US PLACE YOU IN THE CORRECT CLASS, PLEASE SELF-ASSESS YOUR CURRENT LEVEL BASED ON THE CEFR SCALE:

Current Level:

A1 / A2 (Beginner): I can understand basic phrases and introduce myself. B1 / B2 (Intermediate): I can hold conversations and understand the main ideas of complex text. C1 / C2 (Advanced): I can express myself fluently and spontaneously without much searching for expressions

Have you taken a formal proficiency test before?

Yes No

3. STUDENT INFORMATION

Full Name (as per ID):

If Yes kindly tell us the score:

Date of Birth:

Age:

Gender:

Male Female Other

Nationality

ID / Passport No. :

4. CONTACT DETAILS

Residential Address:

Mobile No. :

Email ID

5. CLASS TYPE (TICK ✓ ONE)

Group Classes Private / One-on-One Classes

6. LANGUAGE LEARNING BACKGROUND

Have you studied this language before?

Yes No

If yes, please specify level/institute:

7. PURPOSE OF LEARNING THE LANGUAGE (TICK ✓ ALL THAT APPLY)

Academic Career / Professional Travel Migration Personal Interest Other

8. COURSE PREFERENCE (FOR GENERAL/FLEXI COURSE)

Preferred Hours per Week:

10 hrs 12 hrs 15 hrs

Days Available:

Weekdays Weekends Both

Language & Culture Hub

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Our Courses

Beginner English Course
Intermediate English Course
Spoken English Course
Communication Skills Training
Public Speaking & Confidence Building
English for Professionals

Contact Info

+919217576882
language.culturehub@gmail.com
A2/169 Basement Safdarjung Enclave South Delhi 110029