Enrolment form

Please complete the enrolment form and send the deposit of £150 per term. This will reserve a place for you. (If there is no place available, we will return the deposit to you.)

Please read the
Booking Terms & Conditions.

We will then send you a Certificate of Enrolment and an Invoice. We must receive the balance of the fees at least 14 days before the start of your course otherwise we cannot guarantee a place for you.

Alternatively, if you just require further information, please complete the enquiry form.

University of Cambridge ESOL Examinations Authorised Centre

Title	First Name	Last Name:
Work Tel:		Address:
Home Tel:
Fax No:
Country:
Date of Birth:		Email:
Sex:			Male Female
What date do you want to start the course?
What date do you want to finish the course?
What is your nationality?
What is your occupation?
What is your level of English?		Elementary Intermediate Upper Intermediate Advanced
Would you like accommodation with a host family?		No Yes
Do you have any special requirements with regard to your host family, or any special dietary needs?
Do you need a visa to study with us? See: www.ukvisas.gov.uk/en/doineedvisa		No Yes If yes, please add £15 to deposit.
We will need further information from you.		How would you like us to contact you? Fax Email Telephone
Please note that enrolment is only valid once we receive the deposit of £150. For details of payment, please see our Fees section. INSURANCE Students must arrange their own health and travel insurance before coming to England. We strongly advise you to take out insurance before you arrive in the UK. You can take out your own insurance or use the link to www.course-u-can.com METHODS OF PAYMENT Bank Transfer (Students must pay all bank charges) Cheque (No eurocheques please) Online. After you send this form you will be taken to a page where you can choose to pay your deposit online.