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Personal Details - (CAPITAL LETTERS PLEASE)
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Family
Name:
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First Name:
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Sex:
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Date of
birth:
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Nationality:
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Occupation:
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Home
Address:
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Home Tel:
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Fax Number:
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Buisness
Address:
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Bus. Tel:
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Courses
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Course Dates:
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| from
(Monday)
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| to (Friday)
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No of Weeks
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'Maxima' Intensive
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| 40 Lessons
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| 35 Lessons
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| 30 Lessons
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| 20 Lessons
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One-to-One
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| 40 Lessons
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| 30 Lessons
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| 20 Lessons
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| Lunch with
teacher (2 p/wk)
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'Epsilon' Business Communication
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| 35 Lessons
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Combination Courses
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| 'A' 35
Lessons
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| 'B' 35
Lessons
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| Lunch with
teacher (2 p/wk)
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| 'C' 35
Lessons
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| 'D' 30
Lessons
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| 'E' 35
Lessons
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| 'F' 30
Lessons
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English in
a Teacher's Home
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'Integra' Summer Intensive
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| 32 Lessons
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| 28 Lessons
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| 20 Lessons
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| Activity
Programme
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Main
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| 28 Lessons
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| 20 Lessons
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Special Main Courses
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| 28 Lessons
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Academic Year Course
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| 28 Lessons
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IELTS Long Courses (5 weeks +)
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| 28 Lessons
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IELTS Summer Intensive Courses (4 wks)
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| 40 Lessons
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Cambridge
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| 28 Lessons
First Certificate
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| Certificate
of Advanced English (CAE)
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| Proficiency
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| Certificate
in English for International Business & Trade
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Level of English
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7-Zero Beginner, 6-Elementary,
5-Post-elementary, 4-Pre-intermediate, 3-Intermediate (Camb./1st
Cert.), 2-Post-intermediate, 1-Advanced.
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| Written
Level:
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| Oral Level:
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How did you
hear of Richard Language College?
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English
Host Family
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Accommodation Dates:
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| from
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| to
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No of
Weeks
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Do you
like animals?
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yes no
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Do you
like children?
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yes no
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Do you
smoke?
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yes no
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Are you a
vegetarian?
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yes no
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Health or
dietary requests:
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PLEASE INFORM YOUR HOST FAMILY OF YOUR
ARRIVAL TIME IN BOURNEMOUTH
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Hotel/Guest House
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Other
(Please give details)
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Do you
require a taxi transfer from the airport?
| yes no
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| If Yes,
please give details.
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| Airport:
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| Flight No:
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| Arrival
Time:
| hrs
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Individual
Enrolment
I, the aforementioned, accept all the
conditions of stay and enrolment as described above, on the
Dates & Fees List and in the Brochure.
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yes no
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| Company
Enrolment
I wish to enrol our employee above as
per your conditions of stay and enrolment as described above, on
the Dates & Fees List and in the Brochure.
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yes no
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To guarantee your place, full fees must be
paid on receipt of invoice. Payment instructions will be given
with confirmation. In all cases of cancellation the enrolment
fee is forfeited. Less than 2 weeks' notice of cancellation
incurs a further charge of 1 week's accommodation. In the event
of cancellation after arrival, NO refund of tuition fees can be
made. In special cases the Principal exercises his discretion.
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