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BROMLEY LANGUAGE CENTRE

240 High Street, Bromley, Kent BR1 1PQ, ENGLAND

Tel. (020)  8464 1883      (020)  8464 5149  Fax (020)  8325 2276

International Code (#44 (0) 20)     E-Mail:  bromlang24@aol.com

www.bromleylanguage.co.uk

 

 

ENROLMENT FORM (please use BLOCK CAPITALS)

1. SURNAME…………………………. 2. (MR/MRS/MISS)  FIRST NAMES..............................................................

HOME ADDRESS........................................................................................................................................................................

UK ADDRESS...............................................................................................................................................................................

TEL...........................................      E-Mail …………………………..  FAX.........................................

MALE/FEMALE ………………Occupation:…………………….   DATE OF BIRTH................................................

NATIONALITY…………………… PASSPORT NUMBER…………….   EXPIRY DATE …….……………

 

3. KNOWLEDGE OF ENGLISH

Beginner  o                   2-3 Years  o                   4-6 Years  o                   6 + Years  o

 

4. DO YOU REQUIRE ACCOMMODATION?  

Host Family  o                                        Pension  o                                           Hotel o

(Accommodation is booked from the Sunday before the course begins)

DO YOU SMOKE?  

 

Airport of Arrival ………… Terminal………Flight Number  …………….   Arrival Date……………  Do you require Airport pick-up? ( please see tariff overleaf)  ...................................................

 

5. COURSE DETAILS

Which course would you like to follow?...................................................................................Code………

On what date do you wish to start your course?   Day………………Month………………….Year………

Number of Weeks ……………… Departure Date (if known) ……………………………………………….

 

Do you wish to enter a Cambridge examination  PET, FCE, CAE, Proficiency, IELTS?................................ 

6. HOW DID YOU HEAR ABOUT US?.................................................................................................................................

 

agreement

I wish to attend Bromley Language Centre (School of English). I have read and agree to abide by the terms and conditions of the Centre (details on Fees Sheet).

I enclose the deposit:

20% of total fees & accommodation (minimum deposit £90 school + one week’s accommodation, if required) or  50% deposit,  if a student visa is required. Please note: non–EU students are obliged to attend a minimum of 15 hours’ supervised day-time lessons per week.  See “cancellations” overleaf.

Please send a copy of the Bank Transfer with this enrolment form. Deposits are non-refundable.

 

Name..............................................................

Signature( of person responsible for paying the fees)…………………………… Date.......................

 

Payment Details. Fees should be paid by bank transfer to:

Bank:                      The Royal Bank of Scotland
                               12 Elmfield Road, Bromley BR1 1LP, England
Account Name:       Bromley Language Centre, School of English

Account Number:    Account details below available on request
Sort Code:               

 

 

 

 

 

IBAN (International Bank Account Number) 

 

 

Swift Code  RBOSGB2L