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Gender
Mr.Mrs.

First Name

Last Name

Middle Initial

Personal No.

Unit Code

Unit Name

Your email

Phone

Your Office Address

Zip Code / Postal Code

Your Residence Address

Zip Code / Postal Code

Type of lesson
Private LessonPair Lesson

*If you are applying for a pair lesson,please enter the names of the partner.
Mr.Mrs.

First Name (Partner)

Last Name (Partner)

Middle Initial (Partner)

Type of Lesson (Partner)
Online LessonOnsite Lesson

*If you choose to take lessons on site, please select the place of lesson & the nearest station to the lesson location.

Lesson Location
At your officeAt your residence

Nearest Station to the lesson location

Line

Station

Preferred Lesson Start Date

1st Preference

2nd Preference

Lesson Hours
90 Minutes x 16 Lessons (Total 24hours)120 Minutes x 16 Lessons (Total 32hours)

Payment Installments:
One Lump SumTwo installmentsThree installments

Subject

Your message (optional)

※Information in this application form and attendance status will only be disclosed to the Bosch Group section where the applicant is assigned.

※JM&C will handle personal information within the scope of the purpose specified.

Furthermore, personal information will not be provided to a third party without the consent of the applicant or a legitimate reason.

I have read, understand and agree to Bosch's application conditions and attendance rules.
Bosch Application Conditions | Attendance Rules

I have read, understand and agree to Bosch Connect's Self-Enrichment Education Subsidy System.