STUDENT DETAILS

First Name (required)

Last Name (required)

Date of Birth (required)

Gender MaleFemale

Nationality (required)

Passport Number (required)

Passport Date of Issue (required)

Passport Expiry Date (required)

First Language (required)

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 (required)

Home Telephone

Mobile (required)

By entering data on this form I hereby consent to The Cambridge Centre for Languages collecting and holding data about me. This data will be used in order to carry out the contracted running of the course and to follow our legal responsibilities to make sure everyone on our courses is safe (“safeguarding”).

I understand that:

1. Data collected on the form will be processed by CCL staff

2. CCL will keep the information confidential, and will not make copies of any of the data beyond that necessary for running the course

3. Special category personal data (about health and dietary requirements) will be held only by relevant personnel at CCL and will not be shared with other people

4. The data will not be held indefinitely and will not be used for marketing purposes. Special category personal data will be destroyed within two months of the end of the course.

5. I can submit a request in writing to ask CCL to delete any data held about me at any time.

Select Course (required)
Course CB1 - Homestay Accommodation 05 July - 19 July (2 weeks)Course CB2 - Homestay Accommodation 05 July - 26 July (3 weeks)Course CB3 - Homestay Accommodation 05 July - 02 August (4 weeks)Course CB4 - Homestay Accommodation 19 July - 02 August (2 weeks)Course CB5 - Homestay Accommodation 19 July - 16 August (4 weeks)Course CB6 - Homestay Accommodation 26 July - 16 August (3 weeks)Course CB7 - Homestay Accommodation 02 August - 16 August (2 weeks)Course CB8 - Homestay Accommodation 05 July - 16 August (6 weeks)Course CB 1R - Residential Accommodation 05 July - 19 July (2 weeks)Course CB 2R - Residential Accommodation 05 July - 26 July (3 weeks)Course CB 3R - Residential Accommodation 05 July - 02 August (4 weeks)Course CB 4R - Residential Accommodation 19 July - 02 August (2 weeks)Course CB 5R - Residential Accommodation 19 July - 16 August (4 weeks)Course CB 6R - Residential Accommodation 26 July - 16 August (3 weeks)Course CB 7R - Residential Accommodation 02 August - 16 August (2 weeks)Course CB 8R - Residential Accommodation 05 July - 16 August (6 weeks)




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I am sending a deposit of £300, of which £100 is a non-refundable enrolment fee and £200 is a deposit for course fees