Online Enrolment – Inlingua Cheltenham

Contact details

Gender(required)

Last Name(required)

City(required)

Passport Number(required)

Date of Birth(required)

Emergency Contact name(required)

Is the Emergency Contact an English speaker?(required)

Yes

No

Upload your picture

Maximum size 10MB

Name of Agent/Representitive

Post Code(required)

Nationality(required)

Email address(required)

Emergency Contact Tel(required)

First Name(required)

Address(required)

Country(required)

Occupation

Telephone(required)

Relationship to Emergency Contact (e.g Mother)(required)

Couse details

Course 1(required)

Course 2

English Level(required)

Start Date(required)

Start Date 1

Visa Required(required)

Finish Date(required)

Finish Date 1

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

Weeks(required)

Weeks 1

Accommodation

Arrival Date

With Children

yes

No

Other Information

Departure Date

Do you Smoke?

Accommodation

Do you have any allergies?(required)

Allergies

Please list ALL allergies (i.e. dogs, cats, gluten, dairy, nuts)

Board

Half board

full board

Do you have any Medical Conditions?(required)

Medical Conditions

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

How to Pay

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

Yes

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

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

Where did you here about us?

I heard about you from:

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

Email address(required)

Are you human?(required)

Online Application form

Contact details

Couse details

Accommodation

Travel

Arrival

Departure

Transfers

Where did you here about us?