Please complete the following and return immediately to registrar@china-tesol.org

Application for Family Name  ##=
##  Given Name  ##=
##  Gender  ##=
##  Age  ##=
##  Year of Birth  ##=
##  Partners Name  ##=
##  Ethnic Origin  ##=
##  Address Street  ##=
##  Address District  ##=
##  Address City  ##=
##  Address Country  ##=
##  Email  ##=
##  Telephone  ##=
##  Mobile   ##=
##  Fax  ##=
##  Place of Birth  ##=
##  Country of Birth  ##=
##  Nationality  ##=USA
##  Passport Number  ##=
##  Passport Expiry Year=
##  Passport Expiry Month=
##  Passport Expiry Day=
##  Passport Issued  ##=
##  Marital Status  ##=
##  First Language  ##=
##  Other Language  ##=
##  Speak Chinese  ##=
##  Religion  ##=
##  Teaching Experience  ##=
##  Uni  Degree  ##=
##  Uni Degree Defined  ##=
##  Qualifications, other  ##=
##  When can you start  ##=

Supplementary Medical Report
Do you suffer from or experience any of the following:

##  Physical Deformity##=
##  Congenital Abnormality##=
##  Are you in remission##=
##  Suffer a Speech Problem ##=
##  Suffer from a Chronic Disease  ##=
##  Experience Migraines  ##=
##  Have a Mental Disorder  ##=
##  Wear a Hearing Aid  ##=
##  Wear a Prothesis  ##=
##  Have visible Scars, Tatts & Birthmarks  ##=
##  Wear Spectacles  ##=
##  Do you need a special Diet  ##=
##  Diet, Reason for  ##=
##  Weight Kgs  ##=
##  Weight lbs  ##=
##  Height Cms  ##=
##  Height Inches  ##=
##  Hair Length ##=


Thank you for your assistance

Mrs Qiu Feng
Registrar
China Tesol Teacher Registry
Phone:  +86 10 8775 8197 
Fax:     +86 10 8775 8856