Enrolment Form

Please complete all sections of the enrolment form:

Title:	Mr Mrs Ms Dr Prof
First name
Last name
Age
Date of Birth	-- dd/mm/yy
Organization (if any)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Nationality
Work Phone
Home Phone
FAX
E-mail
Course	General English Short Courses General Summer Courses General English Long Courses General English Academic Year - 9 months Cambridge Examination Courses University Entrance Examinations IELTS and TOEFL
Course Type	Standard   Intensive
From	-- dd/mm/yy
To	-- dd/mm/yy
Number of weeks
What is your level of English?	Beginner Elementary Intermediate Upper Intermediate Advanced
I would like the School to arrange my accommodation	Yes No
Accommodation Type	single room with breakfast and evening meal single room with breakfast only
Do you smoke?	Yes No
Please state any special needs

Would you like a taxi to meet you at the airport and take you to Cambridge?

No Yes

If "Yes", please enter the following flight details, or select "Will sent flight details later":

Airport:
Terminal:
Date of Arrival:	-- dd/mm/yy
Time of Arrival:
Flight Number:
OR I will send you the flight details later

 

Where did you hear about the school?:

On the Internet  Family/Friends   Teacher          Travel agency  
Office/Work      Advertisement    British Council  Agent          

My deposit of �100 has been sent:

No
Yes
If 'Yes' - the deposit was sent on the:

-- dd/mm/yy

by  bank transfer Mastercard/Visa cheque