First Name/s:
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev. Fr.
Married
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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:
Occupation/Profession:
Academic
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Please specify other occupation/profession:
General English
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Teaching Knowledge Test
International Foundation Year
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BSc (Honours) in Business Administration (3 years)
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Start Time:
English Course 09:45
English Course 13:45
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Full time - 15 hours per week
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Intensive - 30 hours per week
Part time - 06 hours per week
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Semi Intensive - 24 hours per week
Semi Intensive - 27 hours per week
Course Type:
Group
One to One
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British Council
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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:
Tick the box on the right to confirm that you accept the terms and conditions:
Mobile:
Please tell us how you heard about the school or the name of the approved agent
(if not above)
:
Title:
Family / Surname:
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Telephone:
Do you give permission for the applicant to go out unaccompanied?:
No
Yes
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Start Date:
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Title:
Family / Surname:
Marital Status:
Passport Number:
Date of Issue:
(dd/mm/yyyy)
Overseas Town:
Overseas Country:
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:
Bed and breakfast
Bed, breakfast and an evening meal
Bed, breakfast, a packed lunch and an evening meal
Room Only
Time of arrival in the UK:
Flight arriving from:
Terminal number in the UK:
Flight Number:
Do you smoke?:
No
Yes
Where did you hear about the school?:
Date of arrival in the UK:
(dd/mm/yyyy)
Do you have any health problems?:
Are you taking any medication?:
please specify
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please specify
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Do you have any special requests / additional information to give?:
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To apply to study at the school, complete and submit this form then send your fees to us.
Overseas Telephone:
Trafalgar House Grenville Place Mill Hill London NW7 3SA
Tel: +44 (0) 20 8959 5081 Fax: +44 (0) 20 8959 5088
email:
info@linguacentre.co.uk
English for Speakers of Other Languages
Linguacentre has been licensed by the UK Border Agency to enrol international students under tier 4 of the Points Based System.
Sponsor Licence Number: F5P0HRRG1
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