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Personal Information
First Name*  Last Name*
Gender* Male Female
Nationality*  Native language*
Date of Birth*
Occupation
Company/Organization
Fax No.
Tel No.*   Mobile No.
E-mail*
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How did you hear about MandarinRocks? *
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Study Plan*
Have you learned Chinese before? Yes   No
If yes, how many hours have you learned approximately?
Your level of Chinese:
Total Beginner  Beginner  Elementary 
Pre-intermediate  Intermediate   Advanced
You would like to take
Crash / Intensive Course   Crash Course first, then at steady pace   Course at steady pace
Do you plan to study characters?
Yes   No, just spoken is fine  Maybe later
You would like to study Chinese for
Daily communication  Business Communication   Academic Purpose (General Chinese)
I plan to study from to
Approximately lessons per week
(50 minutes/lesson)
Do you need accommodation arrangement? Yes   No
Course Selection*
Combined General Chinese (20+5)   Combined General Chinese (20+10)   General Chinese (20) Individual General Chinese (20)  General Chinese For Individuals
Executive Chinese For Individuals
HSK Exam Preparation (20)   HSK Exam Preparation For Individuals
Essential Chinese For Daily Use  Essential Chinese For Travelers Essential Chinese For Business
Practical Spoken Chinese For Individuals  
Writing For Individuals   Professional Chinese  
Kid's Chinese
Other Information

Contact Details
MandarinRocks (Shanghai)
Tel +86 21 61038478
Fax +86 21 62883988
Email: info@mandarinrocks.com
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