REGISTRATION FORM

COURSE Section Fees

MONDAY (810 PM) Japanese 1 (Section 1)

COURSE TIMETABLE
TUESDAY (810 PM) Japanese 1 (Section 2) Korean 1 French 1 WEDNESDAY (810PM) Japanese 1 (Section 3) Mandarin 1 (Section 2) Japanese 2 (Section 2) *Japanese Language Proficiency Test (JLPT N5) English Communication Skills Korean 2 THURSDAY (810 PM) Japanese 1 (Section 4) German 1 French 2

Registration fee: TOTAL:

RM 25

Mandarin 1 (Section1) Japanese 2 (Section 1) *Japanese Communication Skills Arabic

LANGUAGE COURSES
SESSION 2012/2013 SEMESTER I

Name : ______________________________________ Matric No./NRIC : _____________________________ Faculty : ____________________________________ Address : ____________________________________ _____________________________________________ Tel. No. : _______________ H/P No.: _____________
CANCELLATION POLICY One week before class begins: Full Refund (course fee only) Less than one week after class begins: 50% refund (course fee only) Section is closed by UPPB : Full refund

Japanese 4 Preparatory IELTS Basic Japanese Communication (Speaking)

Mandarin 2

Japanese 3 Preparatory MUET

German 2 General English Communication Skills Academic English (Oral)

Academic English (Writing) Developing English Writing Skills (Grammar & Writing)

Please send registration form to: Registration Counter (Language Academy) Language Consultancy and Service Unit Level 2, Block D05, UTM

* Venues to be announced * Subject to change * Pre-requisite for Japanese Communication Skills Class (i) Japanese 3 / JLPT N5

Organized by

FOR FURTHER ENQUIRIES, CONTACT

Dr. Adlina Abd. Samad Pn. Marzilah A.Aziz Cik Ida Tan M.E. (07-5531889 / 012-7105628) (07-5535129 / 019-7510733) (07-5535137) UPPB COMMITTEE Cik Mastura bt. Mohtar En. Mohd. Redhuwan b. Awang Pn. Marzuana bt.Jamil (07-5533135) (07-5531834) (07-5531873)

LANGUAGE SERVICES AND CONSULTANCY UNIT (UPPB) LANGUAGE ACADEMY

Level 2, Block D05, UTM

I agree to attend the above mentioned course and I understand all the terms and conditions stated. Attached is the slip for BANK DEPOSIT Reference No. : ___________________________ Amount : RM __________

GENERAL OFFICE (07-5533135) LANGUAGE SERVICES AND CONSULTANCY UNIT LANGUAGE ACADEMY, UNIVERSITI TEKNOLOGI MALAYSIA JOHOR BAHRU CAMPUS, 81310 JOHOR

______________________

___________________

Signature

Date

FAX: 07-5566911 Website: www.languageacademy.utm.my

INTRODUCTION
Language Services Consultancy Unit (UPPB) of Language Academy, Universiti Teknologi Malaysia offers various language courses. This is to meet the language and communicative needs of the public, working professionals and UTM students. Since its establishment in 1996, UPPB has offered various language and communication courses meant for social and professional development. As Malaysia is going global, there is an increasing need to acquire more than one language. UPPB offers various language courses for students at affordable prices. These courses are taught by experienced teaching staff and native speakers.

COURSE INFORMATION
Commencing Date: 17th September 2012 * Subject to change Meeting Hours: 8.00 - 10.00 pm (2 hours/week) Date of Registration: 7th September 2012 - 21st September 2012
* Courses will be conducted at lecture rooms, D06, FPPSM

REGISTRATION FEES 15 WEEKS (30 HOURS)

Fees Registration * Courses TOTAL UTM Student RM 25 RM 175 RM 200 UTM Staff RM 25 RM 275 RM 300 Public RM 25 RM 350 RM 375

PARTICIPANTS
Course is open to UTM students, staff and public.

* The fee is for one course only. * Registration fee is waived for the second course.

METHOD OF PAYMENT
All payments must be deposited to the following account: Name Bank Account No. : Adlina / Hanita : CIMB (UTM) : 0118-0004369-056

COURSES OFFERED IN SESSION 2012/2013

REGISTRATION AND PAYMENT PROCESS

1.
Collect registration form LA counter Level 2, D05

Japanese Communication Skills Basic Japanese Communication (Speaking) Japanese 1 Japanese 2 Japanese 3 Japanese 4 Japanese Language Proficiency Test (JLPT N5) German 1 German 2 French 1 French 2

Mandarin 1 Mandarin 2 Korean 1 Korean 2 General English Communication Skills Arabic Preparatory IELTS Preparatory MUET Academic English (Oral) Academic English (Writing) Developing English Writing Skills (Grammar & Writing)

2.

Fill up form

* Payment can be made through Giro Interbank (through CIMB) Notes: 1. Ensure that your bank-in slip is attached with the registration form. 2. Write down your NAME and H/P No. at the back of the bank-in slip.

3.

Deposit payment at CIMB Bank UTM A/C 0118-0004369-056

4.

Submit registration form with the original payment slip and register for the course at the Registration Counter (Language Academy, Level 2, D05, UTM)

5.

Confirm acceptance with clerk in charge *Only completed forms with payment slip will be processed. Closing date: 17th September 2012 (5.00 p.m.)