15 - Minute test class: 10

Student’s name: . . . . . . . . . . . . . . . . . . . . . .
Class: 10 . . . .	15-MINUTE TEST 
THOI QUAN HIGH SCHOOL OF ENGLISH ENROLMENT FORM
( PLEASE WRITE IN CAPITAL LETTERS)
1. Surname: . . . . . . . . . . . . . . . . . . 	First name: . . . . . . . . . . . . . . .
2. Sex: male 	 female 	 ( if you are male – put a cross; if you are female – put a tick )
3. Date of birth: . . . . . . . . . . . . . . . . . . . Place of birth: . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Nationality: . . . . . . . . . . . . . . . . . . . 	Occupation: . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Present address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
6. Marital status - ( put a tick in the box):	Single Married 
7. Language(s): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
8. Reason for learning English: Business / Exams / Pleasure / Comunication / Others.
9. How many hours a day do you want to stay at school? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. What date do you want to start? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Student’s name: . . . . . . . . . . . . . . . . . . . . . .
Class: 10 . . . .	15-MINUTE TEST 
THOI QUAN HIGH SCHOOL OF ENGLISH ENROLMENT FORM
( PLEASE WRITE IN CAPITAL LETTERS)
1. Surname: . . . . . . . . . . . . . . . . . . 	First name: . . . . . . . . . . . . . . .
2. Sex: male 	 female 	 ( if you are male – put a cross; if you are female – put a tick )
3. Date of birth: . . . . . . . . . . . . . . . . . . . Place of birth: . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Nationality: . . . . . . . . . . . . . . . . . . . 	Occupation: . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Present address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
6. Marital status - ( put a tick in the box):	Single Married 
7. Language(s): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
8. Reason for learning English: Business / Exams / Pleasure / Comunication / Others.
9. How many hours a day do you want to stay at school? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. What date do you want to start? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .