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[Fields marked with * are compulsory]
BOOKING FORM  
PERSONAL DETAILS  
Surname *
First Name: *
Middle Name :
Title:
Date of Birth: *
Nationality:
Place of Birth:
Address:
Town:
Zip/Postcode  : *
Country :*
Area Code
Phone (Home):

Phone (Cell/Mobile):
Email : *
LANGUAGE SCHOOL  
Name of the Language School :
City/Town/Destination of Language School:
Name of Course :
  • From

  • Number of Weeks
Name of 2nd Course (if applicable):
  • From

  • Number of Weeks
Do you want to take Private Tuition?
Do you want to take an Official Examination (eg D.E.L.E., D.E.L.F. . . . ?):
If yes, do you know the date of the Official Examination?:
How would you describe your current language knowledge/level?
ACCOMMODATION
Please refer to accommodation options in the language school of your choice.

Homestay : Single
  Shared (Twin)
  Shared (Double)
  Half Board
  Full Board
  Private Bathroom
  Shared Bathroom
School Residence : Single
  Shared (Twin)
  Shared (Triple)
  Executive
Shared Apartment: Single
  Shared (Twin)
Other Accommodation Type :
Smoking: Non Smoking
  Smoking
  I will not smoke inside
Travel Companions Travelling Alone
  Travelling/studying with partner/friend(s)
Special requests (eg Vegetarian/Allergies/Pets):
Any other requests:
   
AIRPORT TRANSFER

( If you are also booking accommodation, do you wish to be picked up at the airport on arrival and transferred to your accommodation )

Yes No
   
 

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