NEW REGISTRATION FORM First Name *Last Name *Phone Number *Email *Date of Birth *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924ARE YOU A STUDENT AT ALLIANCE FRANCAISE DAR-ES-SALAAM? *YESNOType of Class *Please select your optionKids (Under 6 years old) – French General ClassKids (above 6 years old) – French General ClassAdults (Above 18 yrs) – French ClassFrench Private ClassKiswahili General ClassKiswahili Private ClassAdult French Class Category *Enter your categoryRegular A1.1 – Mon/Wed (6pm – 8pm)Regular A1.1 – Tues/Thur (6pm – 8pm)Intensive evening – Monday to Friday (5:30- 8pm)Intensive Morning- Monday to Thursday (9am to 12pm)Semi- intensive Morning – Tuesday and Thursday (9am to 12pm)Private Classes Category *Enter your categoryMINI – 5 HOURSMEDIUM – 10 HOURSMAX – 20 HOURSKiswahili Classes Category *Enter your categoryBeginner – Monday / Wednesday (6pm to 7:30pm)Intermediate – Monday / Wednesday (6pm to 7:30pm)Beginner – AfternoonKids French Class CategorySaturday – 9am to 11amSaturday – 11:30am to 1:30pmHow did you pay ?CashMpesaSelcomCredit Card at the receptionOnline payment through the websiteComment REGISTER Thanks for your registration !