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Gender: |
Male:
Female:
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First Name: |
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Family Name: |
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Email address |
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Postal Address (Address in your
country ) |
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Telephone
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Fax
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Nationality
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Date of Birth:
dd/mm/yyyy |
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Passport Number (if applicable) |
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Address in the UK (if applicable) |
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Occupation
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About your course:
Please choose a course |
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Choose the studying
hours
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How long do you intend to stay at the
school? |
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When do you wish to begin attending the
classes ?
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Do you plan to take
exam?
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Yes
No
Maybe |
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Do you need accommodation ?
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Non-smoking
SmokingVegetarian
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Do you have any allergies or medical conditions |
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Hobbies: |
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Do you require an airport transfer?
there will be a
£65 airport transfer charge, and you must inform us two weeks in
advance |
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Do you require insurance?
we strongly advise that you take out
medical, travel and course insurance
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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
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If you have any further comments!
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By submitting this form
you agree to London Empire Academy's terms and conditions.
If you do not agree to
these terms, please do not use this site. By using this site, you
signify your acceptance of these terms.
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Yes
I agree Terms and Conditions. |