Register Account

If you already have an account with us, please login at the login page.

Customer Group

Default

First Name/Given Name(s)

Family Name/ Last Name/

Passport No.:

E-mail address

This email address will be used as your User Name when logging in your ELIC account.

Password

Please make sure your password are made up of numbers and/or letters(in lower/upper case).
And it should be set between 6-18 charaters in length.

Password Confirm

Mobile :

Passport Expiration Date:(1900-01-01)

Country Code:

Gender :

Age :

High School Name :

ELIC Consultant

Nationality :

Sponsor's Name :

What Course do you want:

How did you hear about ELIC:

Sponsor's Address :

Sponsor Company:

Facebook :

Current Address :

WhatsApp :

Father's Name :

WeChat :

Father's Mobile :

Did you finish high school? :

Mother's Name:

Mother's Mobile :

Home Address:

Marital Status:

Date of Birth

Highest Level of Education:

City of Birth:

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