London Empire Academy  

English Courses

Gender:
Male: Female:
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Family Name:
Email address   
 

Postal Address (Address in your country )


 
Telephone       
 
Fax        
Nationality   
Date of Birth: dd/mm/yyyy
Passport Number (if applicable)
Address in the UK (if applicable)
Occupation
About your course: Please choose a course
 

 

Choose the studying hours

 

How long do you intend to stay at the school?
When do you wish to begin attending the classes ? 

 

Do you plan to take exam?   

 

Yes
No
Maybe
Do you need accommodation ?    
Non-smoking SmokingVegetarian
Do you have any allergies or medical conditions
Hobbies:
Do you require an airport transfer?

there will be a £65 airport transfer charge, and you must inform us two weeks in advance

Yes No
If yes, please give us more details:

If you are not sure yet please leave blank

Arrival date:
Arrival time:
Airline and Flight No:    
Airport:          ..

 

Do you require insurance?

we strongly advise that you take out medical, travel and course insurance

 

How do you wish to make your payment ?

 

By cheque, Make your cheques payable to London Empire Academy.

By bank transfer or deposit to the Bank.

Nat West Bank, Stockwell Branch,358 South Lambeth Road, London  SW8 1UR.

Account name : London Empire Academy,         Account No: 64830802,Branch Sort Code: 60-20-31.


Please make sure that your name appears on the transfer document
Please pay all bank charges.  If charges are deducted in Britain, or we shall ask you to pay them when you arrive.

By Cash

 

If you have any further comments!
 

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