Bridge Academy — Enrollment Form

1

Personal Details

Complete

Full Name Please enter your full name

Nickname optional

Phone Number Please enter a valid Myanmar number

Date of Birth Please enter your date of birth

Telegram Username optional Used to confirm your enrollment

Viber Number optional

Email Address optional Please enter a valid email address Used for digital certificate delivery and course updates

2

Emergency Contact

Complete

Contact Name Please enter a contact name

Relationship Please select a relationship

Contact Phone Please enter a contact phone number

3

Program & Payment

Complete

Which pathway?

Weekday English

Adults — All levels

Bridge Juniors

Ages 8–14

Select your program

Essential English

Stage 1 · A1–A2 · Beginner to Elementary

Fluent English

Stage 2 · A2+–B1+ · Pre-Intermediate to Intermediate

Intensive English

Stage 3 · B1–B2+ · Upper-Intermediate to Advanced

Please select a program

How would you like to pay? —

Full Program

Both terms · Pay once · 24 weeks

—

MMK total

Per Term

One term at a time · 12 weeks

Best Value

—

MMK per term

50 / 50 Split

Half now · half within 14 days

—

MMK first payment

Please select a payment plan

4

Schedule

Complete

Delivery Mode

Campus

Online

Please select campus or online

Preferred Time Slot

Please select a preferred time slot Final timetable confirmed after enrollment. We'll do our best to match your preference.

5

Additional Info — optional

How did you hear about Bridge Academy? optional

Friend / Family

Facebook

Instagram

Google

Past student

Walked past

Anything else you'd like us to know? optional

0 / 500

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By submitting, you confirm your interest in enrolling at Bridge Academy.
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You're Enrolled!