First Name/s:
Sex:
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:
Please specify other occupation/profession:
Start Time:
Course Type:
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.
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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.
First Name/s:
email:
Mobile:
Single or Twin Room:
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:
Relationship:
Telephone:
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Start Date:(dd/mm/yyyy)
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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:
Time of arrival in the UK:
Flight arriving from:
Terminal number in the UK:
Flight Number:
Do you smoke?:
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?:
Are you allergic to anything?:
Do you have any special dietary requirements?:
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:
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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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