Reg. No:____/2020
ELSD COURSE - REGISTRATION FORM
PERSONAL DATA :
1. Name :
*
2. Age :
*
3. Academic Qualification:
*
4. Professional Qualification:
*
5. Working Field
*
Secretarial
Technical
Teaching
Media
House Hold
Student
Other
LANGUAGE PROFILE :
1. What is your mother tongue?
2. Second Language you speak:
3. Any other Languages You can speak:
4. English Language Skill :
Rows
Poor
Satisfactory
Good
Very Good
a. Listening
1
2
3
4
b. Speaking
5
6
7
8
c. Reading
9
10
11
12
d. Writing
13
14
15
16
5. Do you have any exposure to English Language in foreign country? If ‘yes’, in which country?
6. Hurdles in English Language Learning:
Rows
YES
NO
Lack of Environment:
17
18
Shyness:
19
20
Bad Teaching Method:
21
22
Lack of Courage:
23
24
Complexity of English Language:
25
26
Short Cut Approach on Part of Learner:
27
28
Wrong Concept of Learning Language:
29
30
Submit
Should be Empty: