Enrol Online

Contact details

Title

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First Name(required)

Last Name(required)

Name of Agent/Representitive

Address

City

Post Code

Country(required)

Passport Number

Nationality

Occupation

Date of Birth(required)

Email address(required)

Telephone

Emergency Contact name

Emergency Contact Tel

Relationship to Emergency Contact (e.g Mother)

Is the Emergency Contact an English speaker?

Yes

Couse details

Select Course 1

Start Date

Finish Date

Weeks

Select Course 2

Start Date 1

Finish Date 1

Weeks 1

English Level(required)

Visa Required

Please send the £10 Visa Application Fee with your application form to reserve your course

Accommodation

Arrival Date

Departure Date

Accommodation

Board

Half board

full board

With Children

yes

With Dogs

Yes

With Cats

Yes

Do you Smoke?

Medical Conditions

(Any medical condition/s we should know about? i.e. diabetes)

Other Information

How to Pay

By bank transfer in pounds sterling (account details on the invoice you will be sent)

Yes

By bankers’ cheque (in pounds sterling drawn on a UK bank)

Yes

Through my inlingua school or Agent or Representative

Yes

Please confirm you wish to enrol with inlingua Cheltenham as detailed above. You also confirm you have read and agree to the Terms and Conditions of Enrolment.

Yes

Pay online here https://inlingua-cheltenham.paytostudy.com/

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Enrol Online

You can view the form as a pdf Enrolment Form 2019.

Online Application form