Application Form

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Application Form

FORMAT : Day/Month/Year
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  • Austria
  • Azerbaijan
  • The Bahamas
  • Bahrain
  • Bangladesh
  • Barbados
  • Belarus
  • Belgium
  • Belize
  • Benin
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  • Bhutan
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  • Botswana
  • Brazil
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  • Burundi
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  • Colombia
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  • Czech Republic
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  • Guyana
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  • Liechtenstein
  • Lithuania
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  • Madagascar
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  • Maldives
  • Mali
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  • Marshall Islands
  • Martinique
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  • Mauritius
  • Mayotte
  • Mexico
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  • Mongolia
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  • Mozambique
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  • Namibia
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  • Nepal
  • Netherlands
  • Netherlands Antilles
  • New Caledonia
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  • Nigeria
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  • Turkish Republic of Northern Cyprus
  • Northern Mariana
  • Norway
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  • Palestine
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  • Paraguay
  • Peru
  • Philippines
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  • Poland
  • Portugal
  • Puerto Rico
  • Qatar
  • Romania
  • Russia
  • Rwanda
  • Saint Barthelemy
  • Saint Helena
  • Saint Kitts and Nevis
  • Saint Lucia
  • Saint Martin
  • Saint Pierre and Miquelon
  • Saint Vincent and the Grenadines
  • Samoa
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  • Saudi Arabia
  • Senegal
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  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon Islands
  • Somalia
  • Somaliland
  • South Africa
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  • Spain
  • Sri Lanka
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  • Swaziland
  • Sweden
  • Switzerland
  • Syria
  • Taiwan
  • Tajikistan
  • Tanzania
  • Thailand
  • Timor - Leste
  • Togo
  • Tokelau
  • Tonga
  • Transnistria Pridnestrovie
  • Trinidad and Tobago
  • Tristan da Cunha
  • Tunisia
  • Turkey
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  • Turks and Caicos Islands
  • Tuvalu
  • Uganda
  • Ukraine
  • United Arab Emirates
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  • United States
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  • Vanuatu
  • Vatican City
  • Venezuela
  • Vietnam
  • British Virgin Islands
  • Isle of Man
  • US Virgin Islands
  • Wallis and Futuna
  • Western Sahara
  • Yemen
  • Zambia
  • Zimbabwe
  • General English Course (4 Hours Class Daily)
  • Intensive English Course (5 Hours Class Daily)
  • IELTS Preparation Course
  • English For Kids
  • Do Not Have English Knowledge
  • Basic English
  • Able To Read & Write
  • Able To Read, Write & Speak
  • Advance Level
  • Google
  • Facebook
  • Instagram
  • SnapChat
  • Student Placement Agency/Agent
  • Friends
  • Others
Have you applied online to Britannia Language Centre through the application form above? If yes, make your Registration and Visa Fees Application payments online by clicking on Pay Now below. Registration & Visa Application Fees are RM 2000.00 / USD 500.00.
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