Full Name (As printed in your IC or passport)*

    Your Email Address*

    Date of Birth

    IC No / Passport No*

    Occupation

    Handphone / House phone number*

    Current Address*

    Do you know your approximate level?*

    NoBeginnerElementaryPre-IntermediateIntermediateUpper IntermediateAdvancedUpper Advanced

    Gender

    MaleFemaleOthers

    Previous ICLS History

    NoOthers

    please give us your class code if you are existing student:
    Marital Status

    SingleMarried

    Nationality*

    MalaysianOthers

    Next of KIN (Emergency Contact)

    Name:

    Relationship:

    Contact Number:

    Choose your Course*

    Online Japanese ClassOnline Korean ClassOnline English ClassOnline Mandarin ClassOnline German Class

    How do you know of ICLS?*

    FacebookWebsiteInstagramICLS StudentFriendOthers

    Purpose of Study*

    Education AbroadLanguage Proficiency TestCultural InteractionSocial CommunicationBusiness CommunicationSelf-InterestOthers