Personal Information |
| * Family Name: |
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| * First Name: |
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| * Date of Birth: |
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| * Sex: |
Male
Female |
| * Nationality: |
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| Passport: |
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| * Ocupation: |
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| * Telephone: |
(country / city dial number) |
| * Address: |
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| * Postal Code: |
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| * City: |
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| * Country: |
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| * E-mail: |
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| Emergency phone number: |
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| * How did you find out about Cervantes EI website?: |
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| * Current level of Spanish: |
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Course selection |
| * Course Name: |
Number of lessons per week in brackets |
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| * Number of weeks in your chosen course: |
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* When would you like to begin (MONDAYS ONLY):
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* Please enter the date in the format dd/mm/yyyy |
| * Courses starts every Monday. Some courses have specific starting dates, you can see them by placing the mouse over here |
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Accommodation |
| Our accommodation goes from Sunday to Saturday. You can arrive to any hour on Sunday and you can departure to any hour on Saturday. An extra fee is charged for extra days. 3 or more extra days will amount to the cost of another week. |
| * Accommodation: |
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Airport Transfer |
| Cervantes provides an Airport Transfer service to meet you at the airport and assist you in getting to your accommodation. |
| * Would you like to request in this service? : |
Yes
No |
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Medical Insurance |
| Students enrolled in an Cervantes language course must be covered by medical insurance. We advise all citizens of the EU to bring the social security E111 document. If you require medical treatment, with this document and the medical bill you will be able to reclaim the medical expenses from your country of origin. We recommend that students from other countries take out a medical insurance policy provided by Cervantes that guarantees coverage for all types of medical care, including doctor visits, hospitalization, surgical treatment and individual accidents. It does not cover medications and prescriptions outside of hospital care and does not cover dental care. |
* Would you like to be covered by our comprehensive medical and accident insurance policy?:
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Yes
No |
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Payment |
| To confirm your booking a deposit of 155 euros deductable from the total (NON REFUNDABLE) must be paid. This deposit is not an additional cost. The remaining fees must be paid at least 2 weeks before arrival. No course fees will be refunded after the course has started. For cancellations please see the general conditions. |
INIDICATE THE AMOUNT YOU WOULD LIKE TO PAY TODAY |
Today, I would ONLY like to pay the 155€ deposit.
Today, I would like to pay the following amount (Please remember: minimum 155€ for the deposit).
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| CHOOSE A METHOD OF PAYMENT |
Bank Transfer*
Visa or Master Card |
| BANK TRANSFER (ALL BANK CHARGES ARE PAID BY THE SENDER) |
Beneficiary: Cervantes Escuela Internacional
Bank name: UNICAJA
Branch address: Paseo Cerrado de Calderón, 18 - 29018 Málaga
Account Number: 2103 0280 47 0030001052
Swift Code & BIC: UCJAES2M
IBAN: ES58 2103 0280 47 0030001052
* When making the payment, please remember to put your complete name in the concept of the transference. |
PAYMENT BY CREDIT CARD
Fill this out ONLY if you are paying by VISA or Master Card. |
| Card Type: |
Visa
Master Card |
| Name of Holder: |
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| Credit Card Number: |
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| Expiration Date: |
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Special Requests or Comments |
| If you have any specific information you want to tell us or questions, please note it here: |
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I agree
with all the CERVANTES EI conditions. Read Terms |
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All personal information will be protected by the Spanish data protection law. Ley Orgánica 15/1999, de 13 de diciembre, de Protección de Datos de Carácter Personal (LOPD) y su normativa de desarrollo. |