Kings School Oxford Online Registration Form Click here to return to the main site Please note: boxes in RED must be completed
Personal Details
Title:	Mr. Mrs . Ms. Miss.
First name:		Surname (family name):
Date of birth:	dd/mm/yy
Nationality:	Select NationalityNot listed------------------------------------------AlbaniaAlgeriaAngolaArgentinaArmeniaAustriaAzerbaijanBahrainBelarusBelgiumBoliviaBosnia and HerzegovinaBrazilBulgariaChileChinaColombiaCosta RicaCroatiaCyprusCzech RepublicDenmarkDominican RepublicEcuadorEgyptEl SalvadorEstoniaFinlandFranceGambiaGeorgiaGermanyGreeceGuatemalaHong KongHungaryIcelandIndiaIndonesiaIranIrelandIsraelItalyJapanJordanKazakhstanKoreaKuwaitKyrgyzstanLatviaLebanonLibyaLithuaniaMacedoniaMalaysiaMaltaMauritaniaMexicoMoldovaMongoliaMoroccoNamibiaNetherlandsNicaraguaNorwayOmanPakistanPanamaParaguayPeruPolandPortugalPuerto RicoQatarRomaniaRussiaSaudi ArabiaSenegalSerbia and MontenegroSlovakiaSloveniaSpainSwedenSwiss FrenchSwiss GermanSwiss ItalianSyriaTaiwanTajikistanThailandTunisiaTurkeyTurkmenistanUkraineUnited Arab EmiratesUruguayUzbekistanVenezuelaVietnamYemen 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:	Please select your levelOver 5 years of English studies4 - 5 years of English studies2 - 3 years of English studiesBeginner or very elementary
Course name:	Please select a courseInternational Diploma of English - OIDCompact Year - OCYIntensive course - OGIIntensive + Business English - OIBIntensive + Academic reading & writing - OIAIntensive + IELTS - OIISuper Intensive IELTS preparation - OIESummer Vacation - OSVOne-to-one lessons - OILEnglish with fine art - OATGCE A-levels - OALPre-foundation year - OPYUniversity Foundation Year - OUF
Course start date:	dd/mm/yy	Course end date: dd/mm/yy
Number of weeks:	Select12345678910111213141516171819202122232425262728293031323334353637383940
Accommodation Details
Type of accommodation required:	Please select an optionHomestay - singleHomestay - twinTeenager Residential CourseResidential (Summer only)Executive AccomodationNo Accommodation
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?		Please select oneArrival transfer onlyArrival and departure transferI do not require a transfer
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:	Please chooseGatwickHeathrowLutonStansted	Departure airport:	Please chooseGatwickHeathrowLutonStansted
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 choose oneGBP 170 depositFull fees (GBP)USD 350 depositFull fees (USD)
Please specify your payment method:		Please Choose OneBank TransferCredit CardCheque
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:	Please choose oneMastercardVisaAmerican Express
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.

Kings School Oxford

St Joseph’s Hall, Temple Cowley, Oxford, OX4 2UJ, England

Tel: +44 (0)1865 711829
Fax: +44 (0)20 8663 3224
e-mail: info@kingsoxford.co.uk