Entry Form International Summer Course

Personal Information

 

Passport***

 

SNS User Name **on a voluntary basis

 

Current Address

 

Contact Person in case of Emergency *it shall be your parent. *if you live with him/her, please leave address blank

  • Contact Person

 

***Passport : if you have a valid passport, pleas fill in the passport section. if you don't have a passport, please leave the section blank.

     

    Health Condition *please fill in the form in BLOCK Letters in English.

     

    Accademic Details/Organization *Please fill in the form in BLOCK LETTERS in English

       

      Information off you School

       

      Language

      • Level of English

       

      Other Information *Please fill in the form in BLOCK LETTERS in English

       

      Declaration, I hereby certify that the statements made by me in this form are true and correct to the best of my knowledge.

       

      Agreement of the Application Guidelines for SUMMER COURSE PROGRAMME, I hereby agree to all qualification written in the Aplication Guidlines for SUMMERCOURSE PROGRAMME

       

      Verification

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