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	ENROLMENT FORM This is for enrolments only - to request further information plase click on brochure request. Please read the Course Dates and Prices before completing. PERSONAL DETAILS Male Female Surname First Names Date of Birth Nationality Full Address (incl Postcode) Tel No.(Home) Tel No. (Work) Fax Number E-mail Address Religion Profession Who do we contact in your family if you have an emergency? Next of kin Next of Kin Contact No. Where did you hear about the ISIS Language Centres? COURSE DETAILS What is your level of English? Please Select Beginner Elementary Intermediate Upper Intermediate Advanced Select which school you wish to attend Please Select ISIS GREENWICH ISIS BRIGHTON ISIS OXFORD Select the Course/s you wish to follow Please Select Standard Morning - 15 hours Cambridge Examination - 15 hours IELTS - 15 hours Semi-Intensive Morning - 20 hours Cambridge Exams - 20 hours IELTS - 20 hours Budget Afternoon - 15 hoursIntensive - 30 hours TOEFL/TOEIC - 4 weeks TOEFL/TOEIC - 8 weeks Business English - 4 weekBusiness English - 8 weekUniversity Foundation Programme - 22 weeks University Foundation Programme - 32 weeksWASP - Unpaid Internship WASP - Paid Work Placement Study UK - 4 weeks One to One lessons Starting Date For weeks Finishing Date ACCOMMODATION Please select which accommodation you require NOTE: College residence self catering: available in Greenwich and Brighton all year and at Oxford in July/August only. College Residence half-board - available in Greenwich in July/Aug only Please Select Home Stay - Single Room/half board Home Stay - Twin Room/half board Home Stay - Executive Room/half board Student Residence - Single room/Self CateringBed and Breakfast - Single room/Breakfast Accommodation Not Required From Date To Date HEALTH Do you smoke? YesNo Do you have any allergy or medical? condition? YesNo If yes - details below Most British families have pets. Are you allergic to any animals? YesNo Do you have any dietary requirements? No Yes Please specify I authorise ISIS Language Centres to take appropriate action in the event of a medical emergency. YesNo TRANSFER SERVICE Do you require a transfer from the airport: YesNo *If yes, please provide flight details as soon as possible. PAYMENT Date of transfer Bank account number AGREEMENT I have read and agree to the terms and conditionsYesNo Once you have sent this online form you will be asked to pay your £150 deposit . .