CIE Languages Registration Form

Please complete the following form, ensuring that you FILL OUT ALL FIELDS CORRECTLY so that your REGISTRATION IS SAVED. Also, keep the following in mind:

Do not use abbreviations or nicknames.
Do not leave any spaces unanswered.
Include your personal information exactly as it appears on your official ID.

If you need assistance or support while filling out your form, please contact us via email at info@ciedu.ca

Name (s)

Last Name (s)

Date of Birth

Occupation

Student Employee Self-employed Home office Business Owner Other

City where you live

State or Province and Country where you live:

Email

WhatsApp number (include area code)

Choose the duration of your CIE Subscription

Monthly 3 months 6 months 12 months

If you know your level of English, please indicate below:

Beginner Intermediate Advanced I'm not sure

How did you hear about CIE?

Social media Familyfriend reference CIE Authorized Representative Other

If you were referred by someone, please write their full name: