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ENROLMENT
Please ensure you have read and accepted our
Terms and Conditions
before completing the enrolment form.
Fields marked with an asterisk ( * ) are required
Are you enrolling *
as an individual
or via an agency
AGENCY DETAILS
Agency Name
Agency Email
Agency Contact
Agency Telephone Inc Code
PERSONAL DETAILS
Title *
Choose Option
Mr.
Mrs.
Miss.
Ms.
First Name *
Surname/Family Name*
Country *
Nationality *
Sex
Choose Option
Male
Female
Are you over 18? *
Yes
No
Date of birth: (DD/MM/YY) *
Passport Number *
Mother Tongue
Occupation/Profession
Address in your country* (include postcode)
Telephone * (include country & area code)
Address in the UK (include postcode)
Mobile
Fax
Email *
NEXT OF KIN
Title *
Choose Option
Mr.
Mrs.
Miss.
Ms.
First Name *
Surname/Family Name*
Address (include postcode)
Telephone * (include country & area code)
Mobile
Fax
Email *
COURSE INFORMATION
Start Date (DD/MM/YY)
End Date (DD/MM/YY)
Number of weeks
Type of Course
Standard (15hrs/20 lessons / week)
Intensive (20hrs/25 lessons / week)
Full immersion (40hrs/30 lessons / week)
Intensive Course Selection
Communication
Business
IELTS
Disclaimer; we reserve the right not to run any of the above intensive courses if the demand for them falls below three students wishing to take the course at any one time.
Your level of English
Beginner (A1)
Elementary (A2)
Pre-Intermediate (B1)
Intermediate (B2)
Upper-Intermediate (C)
Advanced (C1)
Proficiency (C2)
Course Interest *
General English
Examinations
IELTS (examination courses)
Business English
One to One
Young Learners Programme
Mini Stays
ACCOMMODATION
Do you require accommodation with a host family?
Choose Option
Yes
No
Would you like
Choose Option
Single room
Single room (smoking)
Shared room
Shared room (smoking)
Do you have any allergies
Do you have any dietary requirements
Would you mind if your host family has pets
Choose Option
Yes
No
Other information
VISA STUDENTS - DOCUMENTS REQUIRED TO OBTAIN THIS OFFER
Please supply the school with a proof either by email (scanned copy) or by fax (+44 1202 546873)
Your level of English
Beginner (A1)
Elementary (A2)
Pre-Intermediate (B1)
Intermediate (B2)
Upper-Intermediate (C)
Advanced (C1)
Proficiency (C2)
Don't know
If you require further information about this section please do not hesistate to contact us at the school.
Type of Qualification
Awarding Institution
I require an SVV via Express Mail Service (£70 fee applies)
ACCOMMODATION - Residential Centre
Adults - Summer Term
Would you like accommodation in the Residential Centre - £150 per student per week. See details of the
Adult Residential Centre
under Adult Courses.
Weeks in residential centre
Choose Option
1
2
3
4
5
6
7
8
9
10
11
12
Please be aware there is limited availability for this accommodation and it will be on a first come first served basis.
I require Student Travel Insurance (£5.50 per week of stay)- for further details
click here
TRANSPORT
How are you getting to Bournemouth from the airport?
Taxi - arrange through the school
Collective Transfer - Summer Only
arranged through the school
National Express Coach
Train
Other - Specify below
Other details
Please confirm your flight details
Arrival date
Time
Airport
Terminal
Flight number
HOW DID YOU HEAR ABOUT CAPITAL SCHOOL OF ENGLISH?
Please Select
Internet - Search Engine (Google etc.)
Internet - Website Link (please specify below)
Internet - Adwords
Friend / Work Colleague
Agent
Other (please specify below)
Other details
Comments/Questions
Before submitting your form you must read and agree to the Terms & Conditions.
Click Me to Edit
I have read and accept Capital School of English's Terms & Conditions *
