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2012 Online Application
for Mandarin Course
To apply for intensive course, you need be aged above 16 (on arrival). Application needs to be submitted at least 4 weeks before intended start date. Housing requested should be made at least 6 weeks in advance. Late applicants might be possbile but are accepted on case to case basis.
Make sure you have read Price & Schedule. If you prefer, you can print and send the PDF application form by email to info@MandarinRocks.com.

To apply for 2013 Mandarin courses, clik here
Program Data
Program you’d like to apply for*   Guide
General Chinese
General Chinese 20
Combined 20+5
Combined 20+10
Individual 20
Private Tuition (Flexible time)
Business Chinese
Business Chinese 20
Individual 20
Private Tuition (Flexible time)
HSK Preparation
Individual 20
Private Tuition (Flexible time)
Start Date*   Guide
Jan 09
Feb 06
Mar 05
Apr 02
May 07
May 28
Jun 11
Jun 25
Jul 09
Jul 23
Aug 06
Aug 20
Sep 17
Oct 15
Nov 12
Dec 10
Others
Duration*   Guide
weeks
Finish Date*
For Private Tuition (flexible time) Only  Guide
How many lessons
50 lessons 100 lessons 150 lessons 200 lessons
Others
How many students
1 student 2 students 3 students 4 students
5 students  
Airport Pick-upGuide
No Yes
Arrival Date
Coming from (City) Airport of Arrival
Airline Flight No
Arrival Time    
Housing Arrangement*   Guide
No Yes
Private studio apartment Single room in shared apartment
Others(please specify)
Check-in Date Check-out Date
       
Applicant Information
Personal Information  Guide
First Name* Family Name*
Gender* Male Female
Nationality* Native language*
Date of Birth* day month year
Tel No.*
Country Area Phone
Mobile No.
Country Area Phone
Address*
(street) (city)
(zip code) (country)
Company/School
Occupation/Grade
Website
Passport Number
(Provide as soon as possible if you don’t have one yet)
Current level of Chinese*
Total Beginner Beginner Elementary
Pre-intermediate Intermediate Advanced
Health Condition*
Any medical conditions(Allergies, asthma, illnesses, previous injuries, disabilities)
None Yes
(please specify here)
Symptoms Medications
Emergency Contact
Name* Relationship*
Tel No.*
Country Area Phone
Mobile No.
Country Area Phone
Taken any programs with Mandarinrocks before?*
None Yes
(please specify here)
How did you hear about us? Please specify here*
Yahoo Search Google Search
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Agent
Company
Payment
To confirm your booking, a deposit of 320USD/260EUR deductable from the total (NON REFUNDABLE) must be paid to MandarinRocks. This deposit is not an additional cost. The balance must be paid at least 4 weeks before arrival. Students currently in Shanghai can pay by credit card or cash in person at school. Students from other cities or abroad can only pay by bank transfer. We will contact you with a confirmation email within the next 48 working hours after your application is submitted. The deposit and payment is payable at that point, not now.
Other Information You Need Us to Know
Verify Email Address
All current and future correspondence, including confirmations and updates, will be sent to this address.
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Contact Details
MandarinRocks (Shanghai)
Tel +86 21 62550715
Fax +86 21 62883988
E-mail: info@mandarinrocks.com
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