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ENROLMENT FORM

This form can be sent online but must be followed by a £100 deposit to: The Registrar, Swandean School of English, 12,Stoke Abbott Road, Worthing, West Sussex, BN11 1HE, England

Please read the notes and conditions on the relevant course information page.

Course required:
(Please state course reference number)
Family name:
First name:
Date of Birth:
Nationality:
Sex:
Address:
Street (include Apt. No and Street number):
Town:
Post / Zip Code:
Country:
Email:
Telephone:
Fax:
Occupation:
Do you smoke?:
Hobbies / interests
English level:
Do you want us to arrange accommodation for you?:
Course start date:
Course end date:
Accommodation start date:
Accommodation end date:
Do you wish to be met at the airport?
If yes, state arrival date:
Arrival time:
Arrival airport:
Flight number:
Do you want the school to arrange medical insurance?
(£12 per month):
State any other special requirements:
Method of sending £100 deposit as part payment of fees:
(Please note: until we receive your deposit we cannot proceed with you enrolment)
Date payment sent:
I agree to the enrolment conditions and am forwarding £100 in part payment of fees for my course.
Signature (if faxing or mailing this form):

__________________________________________________

Date:

__________________________________________________
Signature of parent or guardian (if under 20):

__________________________________________________

 

 

© Swandean School of English 2002