English for Speakers of Other Languages
ENROLMENT FORM
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To apply to study at the school, complete and submit this form then send your fees to us.
please specify
please specify
First Name/s:
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev. Fr.
Married
Single
Sex:
Female
Male
Date of Birth:
(dd/mm/yyyy)
Place of Issue:
Overseas Address:
(excluding Town,
PostCode and Country)
Overseas PostCode:
Nationality:
email:
UK Town:
UK Address:
(if known, excluding Town,
PostCode and Country)
UK Country:
UNITED KINGDOM
UK Facsimile:
Mobile:
Occupation/Profession:
Academic
Au pair
Clergy
Volunteer
Other
Please specify other occupation/profession:
Course Details
General English
English for Business
English for Academic Purposes
English for Special Purposes
English plus Work Experience
Exam Preparation
Holiday / Vacation
Teaching Knowledge Test
International Foundation Year
International Diploma in Business
BSc (Honours) in Business Administration (1 year)
BSc (Honours) in Business Administration (3 years)
Postgraduate Diploma in Management Studies
MSc in International Management
International Diploma in Computer Studies
International Advanced Diploma in Business
Start Time:
English Course 09:45
English Course 13:45
Vacation / Holiday
Further Education
Full time - 15 hours per week
Full time - All Day
Intensive - 30 hours per week
Part time - 06 hours per week
Part time - 09 hours per week
Part time - 12 hours per week
Semi Intensive - 21 hours per week
Semi Intensive - 24 hours per week
Semi Intensive - 27 hours per week
Course Type:
Group
One to One
An approved agent
British Council
Current / Previous Student
Friend
Internet
Other
Parent / Guardian
This form must be approved by a parent or legal guardian if the person who would be studying at the school is under seventeen years of age.
I,
confirm that the information given above is correct. I also confirm that I have read the terms and conditions and agree to be bound by them.
Enter your full name or ask your parent or guardian to help you.
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev. Fr.
First Name/s:
email:
Mobile:
Single or Twin Room:
Single
Twin
You must have a friend to share with if you choose a twin room
.
Place of arrival in the UK:
Time of arrival in the UK:
Flight arriving from:
Terminal number in the UK:
Flight Number:
Do you smoke?:
No
Yes
Do you have any health problems?:
please specify
please specify
Are you taking any medication?:
Are you allergic to anything?:
Do you have any special dietary requirements?:
Do you have any special requests / additional information to give?:
please specify
Acceptance of Terms and Conditions
Tick to confirm that you accept the terms and conditions:
Mobile:
Where did you hear about the school?:
Please tell us how you heard about the school or the name of the approved agent
(if not above)
:
Title:
Family / Surname:
Relationship:
Telephone:
Date of arrival in the UK:
(dd/mm/yyyy)
Do you give permission for the applicant to go out unaccompanied?:
No
Yes
Until
(hh/mm)
:
Parent or Legal Guradian Details
(To be completed by the parent or legal guardian if the person who would be studying at the school is under seveenteen years of age)
Accommodation Details
Transfer Details
Additional Information
Start Date:
(dd/mm/yyyy)
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Poland
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Venezuela
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West Bank and Gaza Strip
Western Sahara
Yemen
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Zaire
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Personal Details
Bed and breakfast
Bed, breakfast and an evening meal
Bed, breakfast, a packed lunch and an evening meal
Room Only
Title:
Family / Surname:
Marital Status:
Passport Number:
Date of Issue:
(dd/mm/yyyy)
Overseas Town:
Overseas Country:
Overseas Telephone:
UK PostCode:
UK Telephone:
Course Name:
Number of Weeks:
Sessions per week:
Type of accommodation required:
First day in the accommodation:
(dd/mm/yyyy)
Length of stay in weeks:
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