AFPotch registration

1

Student Name* This field is required.

First Name

Last Name

2

How did you hear about us ?* This field is required.

Instagram

Twitter

Facebook

I searched on Google for French courses

Someone referred me to AF Potch

The AF Potch website / blog

Youtube

I searched on Google for Setswana courses

3

If you were referred to us by an AF Potch student, please provide his/her name and surname.

4

Courses and booksPlease look at our available French and Setswana courses on our website. www.potch.alliance.org.za Setswana study material is R500. Feel free to contact us for more options: info@potch.alliance.org.za | +27829066054 *A new complete beginners course can start as soon as there are 6 registered students

5

Student E-mail* This field is required.

6

Mobile Number* This field is required.

Area Code

Phone Number

7

Profession* This field is required.Please let us know what you do?

8

Birth Date* This field is required.

9

Where do you live ?Eg. Potchefstroom, Klerksdorp etc.

10

Nationality* This field is required.What is your nationality ?

11

Languages* This field is required.What is your mother tongue ? What other languages do you speak ?

12

Do you (the student) have any previous knowledge of the language you want to learn (French or Setswana)?* This field is required.

YESNO

13

If you answered yes to the previous question, please describe your knowledge of the language.Where did you have classes ? For how long ? When ? etc. This is so that we can make sure that you are in the correct class.

15

Please read the T's & C's

16

Terms and Conditions

I hereby accept the terms and conditions as stated in the catalogue.

17

Courses* This field is required.Which French course are you interested in ?

19

Payment

The complete course fees and study material are payable in advance, since it books your seat for the course.

Once registration is complete, we will send you a personalised invoice for the course.

20

If you have any questions or comments, please let us know.