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*=information is required!

Personal details
Title*
Mrs.    Mr.
First name* Family name*
Street* c/o
Company
Postal Code* City*
State Nationality
Telephone home Telephone office
Cell Phone Fax
E-Mail*
Profession Date of birth
      (Format: mm-dd-yyyy)
 
 
About the Course
Existing knowledge
absolute beginner poor medium good very good
 
Regarding key content: More than one choice possible
 
I've learnt german since:
  months years
 
Used materials
 
 
I register for the following course*
 
 
Planned Time (Starting Date)*
Starting Date  
Ending Date  
 
I know FOKUS from
Note
 
 
General Conditions
*The general conditions are known to me and accepted by me.
 
 
 

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