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<title>Apply - TEFL course in Thailand</title>
<meta name="title" content="Apply - TEFL course in Thailand"/>
<meta name="description" content="Focusing on your Career? Interested in TEFL and TESOL courses? Fill this form and send it to us. We will contact you soon.">
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                  <h1>Apply</h1>
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                       <li class="breadcrumb-item active" aria-current="page">Apply</li>
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         <section id="instructor-details" class="instructor-details-section">
            <div class="container">
               <div class="instructor-details-content position-relative">
                  <div class="row">
                   
                     <div class="col-lg-12">
                        <div class="instructor-details-text">
                           <div class="instructor-details-text-top clearfix">
                              <div class="instructor-details-name-social  yl-headline float-left">
                              <!--   <h2>Apply for TEFL / TESOL Course </h2>-->
                                 
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                           <div class="instructor-details-content-text pera-content">
                           
                           
                              
<div class="col-md-8 about-page">
<h3 class="title-text">International TEFL/TESOL Program: TEFL Course Thailand</h3>

              

<p>
<form action="webform_pre.php" name="form1" id="form1" method="POST"> 
 <span style="font-size:12px;">TEFL Course in Thailand (Bangkok, Indonesia and Cambodia) TEFL Online and TEFL Live Online Courses</span>
 <hr style="border:2px dotted #ccc;">
  <div class="form-group"> <!-- Name field -->
    <label class="control-label " for="txtname">Name  <span class="asteriskField" style="color:#F00">*</span></label>
    <input class="form-control" id="txtname" name="txtname" type="text" required/>
  </div>
    
    <div class="form-group"> <!-- Email field -->
    <label class="control-label requiredField" for="email">E-mail <span class="asteriskField" style="color:#F00">*</span></label>
    <input class="form-control" id="email" name="email" type="email" required/>
  </div>
   <div class="form-group"> <!-- Subject field -->
    <label class="control-label" for="subject">Phone Number <span class="asteriskField" style="color:#F00">*</span></label>
    <input class="form-control" id="contact" name="contact" type="text" required/>
  </div>
    
    
     <div class="form-group"> 
    <label class="control-label" for="country"> Please mention your Country & City<span class="asteriskField" style="color:#F00">*</span></label>
    <input class="form-control" id="location" name="location" type="text" required/>
  </div>
    
<div class="form-group">
    <label class="control-label" for="cmbCourse">Please select your course<span class="asteriskField" style="color:#F00">*</span> </label>
    <select class="form-control" name="cmbCourse" id="cmbCourse"  onchange="course(this);" required>
        <option value=""></option>
          <option value="In Class TEFL">
         In Class TEFL
      </option>
            <option value="Online TEFL">
        Online TEFL
      </option>
            <option value="Live Online TEFL">
        Live Online TEFL
      <!--</option>
            <option value="TEFL Short Courses">
        TEFL Short Courses
      </option>
            <option value="International School Experience Program">
        International School Experience Program
      </option>
      <option value="International School Experience Program">
        International Advanced Diploma in TEFL
      </option>-->
  </select>
  </div>

    
     
    <div class="form-group"> <!-- Subject field -->
    <label class="control-label" for="comment">Why are you interested in this course? <span class="asteriskField" style="color:#F00">*</span></label>
    <textarea class="form-control" id="comment" name="comment" type="text" required></textarea>
  </div>
  
   <div class="form-group"> <!-- Subject field -->
    <label class="control-label capcha-lebel" ><img id="siimage" align="center" style="max-width:80%;" src="captcha/php_captcha1.php" alt="Captcha" />&nbsp;<br><font color="#FF0000" size="+1"><strong><?php if(isset($_SESSION['CAPTCHA_ERROR']) and ($_SESSION['CAPTCHA_ERROR'] != '')){ echo $_SESSION['CAPTCHA_ERROR'];} unset($_SESSION['CAPTCHA_ERROR']); ?></strong></font></label>

  <input type="text" name="tb_captcha" id="tb_captcha" style="height:34px;color: #555;background-color: #fff;background-image: none;border: 1px solid #ccc;" required >
  </div>
   
 <div class="text-center">        
<button type="submit" class="btn btn-danger" name="submit-apply" id="submit-apply" >SUBMIT</button>
   
   
</div>
</form>         

</p>
</div>
        

                             

                              

                           </div>


                        </div>
                     </div>

                     <div class="col-lg-12">
                        <div class="instructor-details-content-text pera-content">

                      

                        

</div>
                          </div>
                  </div>
               </div>
            </div>
         </section>

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      <?php include('common/testimonial-new.php');?>  
     
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