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Margate Language Centre on-line enrolment
PERSONAL INFORMATION
For the attention of:  
Your first name:
Your family name:  
Reference or quotation code (if you have one):  
Your sex:  
Your address:  
   
Your town/city:  
Your postal code:  
The country where you live:  
Your telephone number:  
Your mobile telephone number:  
Emergency contact telephone number:  
Your e-mail address:  
Do you suffer from any illnesses or disabilities:  
If yes, please give full details:


  
Your nationality:  
Your first language:  
Your date of birth:  
Your job (if student, which subject are you studying):  
Your hobbies and interests:  
How did you hear about Margate Language Centre:  
YOUR LEVEL OF ENGLISH
Please estimate your level of English:  
How many years have you been studying English?  
COURSE DETAILS
Course start date:  
Course end date:  
Which course would you like to do?  
Please select any supplements you would like to add to your course:
TOEIC test  
Working Lunch   How many during your stay?
ARRIVAL AND DEPARTURE INFORMATION
How do you intend to travel to Margate?  
Your date of arrival:  
Would you like a taxi to meet you on your arrival in England?  
Your point of arrival and travel details (if you know them):

  
Your date of departure:  
Would you like a taxi for your departure?  
Your point of departure and travel details (if you know them):

  
ACCOMMODATION
Would you like us to arrange homestay accommodation?  
If yes, for how many weeks?  
Accommodation start date:  
Accommodation end date:  
Do you smoke?  
Do you require a non-smoking family?  
Do you have any special dietary requirements e.g. vegetarian:  
Do you have any allergies e.g. cats, dust:  
I have read and accepted the click here to read the terms and conditions of enrolment on Margate Language Centre courses of enrolment with Margate Language Centre
PLEASE NOTE: As soon as we have received this booking we will contact you with details on your payment and how it can be made. Your booking will not be complete until the necessary payment has been made.
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