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Attention Please: Before completing this application, please read Term & conditions carefully and thoroughly.

Personal Information
   
£ªName:
Family Name:
£ªDate of Birth:
£ªGende:
Male Female
£ªNationality:
Birth of country:
£ªFirst languag:
£ªPassport Number:
Home Address:
£ªPhone number:
£ªMobile:
Fax:
£ªE-Mail Address:
£ªOccupation:
£ªThe level of your Chinese:
None simple Fluent
£ªHow did you first hear of Beijing Smart Eagle Education?
Internet Friend Agent Other, namely
Upload your picture:
Homestay information
£ªPlease select the type of the Homestay program which is best suit you£º
Chinese language and culture homestay
English teaching homestay
Holiday homestay
£ªStart Date£º
£ªEnd Date£º
£ªProposed length of stay£º
Do you have special dietary requirements?
If yes, please indicate below (For example, indicate them
Are you a vegetarian?)
Do you have any allergies? If yes, please
Can you live with pets? Yes No
Yes No Do you smoke? Yes No
Can you live with young children? Yes No
£ªPlanned date of Arrival in China
Flight # :
Do you need airport pickup? Yes No


£ª
How will you pay
  Mail to the following address:
    Address: Room2209,Science Park,No.116     Zhongguancun North Street
    Zip: 100871
    Jia Li Rui
  Mail to the following account:
    Account number: 4060300-0188-049080-0
    Account address: Jinsong Office,Chongwen     Branch,Bank of china, Beijing
    Account name: Jia Li Rui

You application will be reviewed and processed once received. At this point we will send you an invoice with our simple payment procedures.