STUDENT DETAILS

First Name (required)

Last Name (required)

Date of Birth

Gender MaleFemale

Nationality

Passport Number

Passport Date of Issue

Passport Expiry Date

First Language

Student's Level of English BeginnerIntermediateAdvanced

PARENT'S DETAILS

Parent's First Name(s) (required)

Parent's Last Name(s) (required)

Email (required)

Home Address

Home Telephone

Mobile (required)

Select Course (required)
Course CB1 - Homestay Accommodation 09 July - 23 July (2 weeks) £1,475Course CB2 - Homestay Accommodation 09 July - 30 July (3 weeks) £2,145Course CB3 - Homestay Accommodation 09 July - 06 August (4 weeks) £2,855Course CB4 - Homestay Accommodation 23 July - 06 August (2 weeks) £1,475Course CB5 - Homestay Accommodation 23 July - 20 August (4 weeks) £2,855Course CB6 - Homestay Accommodation 30 July - 20 August (3 weeks) £2,145Course CB7 - Homestay Accommodation 06 August - 20 August (2 weeks) £1,475Course CB8 - Homestay Accommodation 09 July - 20 August (6 weeks) £4,190Course CB 1R - Residential Accommodation 10 July - 23 July (2 weeks) £1,800Course CB 2R - Residential Accommodation 10 July - 30 July (3 weeks) £2,765Course CB 3R - Residential Accommodation 10 July - 06 August (4 weeks) £3,670Course CB 4R - Residential Accommodation 23 July - 05 August (2 weeks) £1,800Course CB 5R - Residential Accommodation 23 July - 20 August (4 weeks) £3,670Course CB 6R - Residential Accommodation 30 July - 20 August (3 weeks) £2,765Course CB 7R - Residential Accommodation 06 August - 20 August (2 weeks) £1,800Course CB 8R - Residential Accommodation 10 July - 20 August (6 weeks) £5,100

I am sending a non-returnable deposit of £200 as part-payment for the course