 |
Kings School Oxford
Online Registration Form
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| Personal
Details |
| Title: |
Mr. Mrs
. Ms. Miss.
|
| First name: |
| Surname (family name): | |
| Date of birth: |
dd/mm/yy |
| Nationality: |
Any nationalities not listed above, please contact the school via fax or e-mail |
| Telephone number: |
| Emergency telephone number : | |
| Email address: |
|
|
Address: | |
| Profession: |
|
| Fax number: |
If you require a VISA you MUST
put a fax number for your visa letter.
|
| | |
| Course
Details |
| Years of English already studied: | |
| Course
name: | |
| Course
start date: | dd/mm/yy
| Course end date: dd/mm/yy |
| Number of weeks: |
|
| | |
| Accommodation
Details |
| Type of accommodation required: |
|
| Start date: |
dd/mm/yy | End
date: dd/mm/yy |
| Do you smoke ? | Yes.
No. Not
applicable |
| If you smoke, do you agree NOT
to smoke inside the house? | Yes.
No. Not
applicable |
| Have you attended King's before
? | Yes.
No. Not
applicable |
| Would you like the same homestay
family ? | Yes.
No. Not
applicable |
| Family name: |
|
| Do you have any special requirements or any
health problems? (Please note that we can only accept special requests regarding
health or religion). |
|
| | |
| Travel
Information |
| Do you require
a transfer from the airport to your accommodation? |
|
| If
you require an airport transfer please complete the following sections (please
complete both sections if you require an arrival and a departure transfer). |
| Arrival date: | dd/mm/yy
| Departure date: |
dd/mm/yy |
| Arrival flight no: |
| Departure flight no: |
|
| Arrival time: |
24hrs (0000) | Departure
time: |
24hrs (0000) |
| Arrival airport: |
| Departure airport: |
|
| | |
| Payment
Details |
| IMPORTANT: Please note
that your application cannot be processed until we have received payment of the
deposit for the course or payment of the full fees for the course. If your course
starts in 4 weeks or less, full payment must be made at time of registration.
If you are only paying the deposit then the full balance is due 4 weeks before
the course starts. |
| Please specify
if you are paying the deposit only or the full fees: |
|
| Please
specify your payment method: | |
| |
| Paying
by bank transfer |
| IMPORTANT: If
you are paying by bank transfer a copy of the transfer MUST be sent by fax as
your booking cannot be processed without payment. Please mark the student's name
clearly on the bank transfer. Please send your transfer to the following account. |
| Bank
name: | Lloyd's TSB Plc. |
| Bank
address: | Cowley Branch, 1 Pound Way,Oxford,
OX4 3XS, England |
| Account name: | King's
School Of English |
| Account number: | 00128975 |
| Sort
code: | 30-12-51 |
| IBAN:
| GB05 LOYD 3012 5100 1289 75 |
| Swift
code: | LOYDGB2L
Please note when using
the swift code you must also give bank address, account name, number, sort code,
etc. |
| | |
| Paying
by credit cards |
| Card type: | |
| Cardholder's
name: | |
| Cardholder's
address: | |
| Card
number: (no spaces) |
(1234-1234-1234-1234) |
| Expiry date: |
mm/yy |
| Security Number |
See Below |
| For all cards except Amex, 3 numbers
as shown on the back of your card |  | For
Amex, 4 numbers as shown on the front of your card |  |
PLEASE CHECK THAT ALL INFORMATION IS CORRECT BEFORE PROCEEDING
!
|
| | |
| Declaration |
|
I declare that I agree
to the terms
and conditions of enrolment and confirm that all the information provided
on this form is correct. |
|
