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: |
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| * 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?: |
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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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| * 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 |
In order to confirm your reservation you must pay a deposit of 65 €. The deposit of 65€ can be paid by credit card (VISA, Mastercard) or by bank transfer. The amount will be deducted later from the total fee.
Once we have received this enrolment form, we will send you the invoice and payment details by email. |
| 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. |
