Institute of Advanced Studies - English Tuition Form

Pre-sessional Preparatory English Tuition

Please complete this form if you would like to apply for a place in this year's programme. Once we receive your completed online form we will send you an invoice for the course fees and accommodation (if required). Payment of this invoice guarantees your place on the course.

We look forward to seeing you.

A. Personal Details:

Title
Last Name
First Name(s)
Date of Birth	(dd/mm/yyyy)
Home Address
Home Address
City/Town
Province
Postcode
Country
Telephone	(Area code) (Number)
Fax	(Area code) (Number)
Email Address

B. Registration:

I wish to enrol for the following option:

Select	Start Date	Dates with Duration	Who Should Join	Fees
	Monday 23rd Aug 2004	23rd Aug 2004 to 15th Oct 2004 Eight Weeks	Students who have IELTS 4.5 (TOEFL 475)or less	£800
	Monday 20th Sept 2004	20th Sep 2004 to 15th Oct 2004 Four weeks	Students who have IELTS 5 (TOEFL 500)	£400

C. Course at the College

Name of the course you intend to study at the College

D. Accommodation Registration

	I want to stay in accommodation arranged by the College. Please send me information about it:
	I will make my own arrangements for accommodation

E. Payment (must be made in £ sterling)

There are two methods for payment; please choose one:

Bank credit transfer
Details will be forwarded to you with confirmation of your place on the course.

Please invoice me/my sponsor.
I/they will pay my fees before the start of the course in order to guarantee my place.
Details of how to pay will be sent with the invoice. Your place cannot be guaranteed until full payment is received.

Please send the invoice to:

my address as above

my sponsor's name and address*:

* If another person or institution has agreed to pay your fees, read the following and tick the box if you agree:

I confirm that the above has agreed to act as my sponsor, and has authorised this application. I accept that I am responsible for ensuring that the fees are paid in full before the start of the course, and I accept responsibility to pay the agreed fee in the case that my sponsor fails to do so.

Date