| Personal
Details - (CAPITAL LETTERS PLEASE) |
|
| Family
Name: |
* |
| First
Name: |
* |
| Sex:
|
* |
| Date
of birth: |
* |
| Nationality:
|
* |
| Occupation:
|
* |
| Home
Address: |
* |
| Home
Telephone: |
* |
| Fax
Number: |
|
| E-mail
address: |
* |
| Business Address: |
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| Business
Telephone: |
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| Business
Fax: |
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| Business
E-mail: |
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| |
|
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| |
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| Courses
|
|
| |
|
| Course
Dates: |
|
| from
(Monday) |
* |
| to
(Friday) |
*
|
| No
of Weeks |
* |
| |
|
| General
English |
| 28
Lessons |
|
| 20
Lessons |
|
| |
|
| Reduced
Fees Courses |
| 28
Lessons |
|
|
| Examination/Test |
|
| Cambridge
First Cert |
Exam/Test
Date
|
| Cambridge
CAE |
Exam/Test
Date
|
| CELS |
Exam/Test
Date
|
| BEC |
Exam/Test
Date
|
| TOEIC |
Exam/Test
Date
|
| TOEFL |
Exam/Test
Date
|
| IELTS |
Exam/Test
Date
|
| |
|
|
| |
|
| Level
of English |
| |
A0-Zero Beginner, A1-Elementary,
A2-Post-elementary, B1-Pre-intermediate, B2-Intermediate (Camb./1st
Cert.), C1-Post-intermediate, C2-Advanced. |
| Written
Level: |
* |
| Oral
Level: |
* |
|
On-line Test Score: |
|
| |
|
| How
did you hear of Richard Language College? |
* |
| |
|
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| |
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| English
Host Family |
|
|
Please tick if host family is required |
|
| |
|
| Accommodation
Dates: |
|
| from
|
|
| to
|
|
| No
of Weeks |
|
| |
|
| Do
you like animals? |
yes
no |
| Do
you like children? |
yes
no |
| Do
you smoke? |
yes
no |
| Are
you a vegetarian? |
yes
no |
| |
|
| Health
or dietary requests: |
|
| |
|
| PLEASE INFORM
YOUR HOST FAMILY OF YOUR ARRIVAL TIME IN BOURNEMOUTH |
| |
|
| Hotel/Guest
House |
|
| Other
(Please give details) |
|
| Do
you require a taxi transfer from the airport? |
yes
no |
| If
Yes, please give details. |
| |
|
| Date: |
|
| Airport:
|
|
| Flight
No: |
|
| Arrival
Time U.K.: |
hrs |
| Individual Enrolment
I, the aforementioned,
accept all the conditions of stay and enrolment as described above,
on the Dates & Fees List and in Short/Long Courses. |
yes |
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 Short/Long Courses. |
yes |
| |
|
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.
All fields marked
with a *
must be completed
before you click the 'Send Enrolment' button below.
Please check quickly that you have completed at least all of these
details before continuing.
Please have Two photographs ready on your arrival.
|