On-line Application Form

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Surname:

First Name:

Other Names:

Nationality:

First Language:

Date of birth:

Sex:

Address:

Do you have a United Kingdom address:

Phone:

e-Mail:

Passport Number

Place of issue

Date of issue

Education History:

Work History:
What jobs have you done?

Where did you hear about our school?

Course Details

Type and length of course:

General English
	1 week	GBP65
	2 weeks	GBP120
	3 weeks	GBP170
	4 weeks	GBP195
	5 weeks	GBP220
	6 weeks	GBP230
	7 weeks	GBP240
	8 weeks	GBP255
	9 weeks	GBP275
	10 weeks	GBP290
	11 weeks	GBP310
	12 weeks	GBP320
	13 weeks	GBP330
	14 weeks	GBP340
	15 weeks	GBP350
	16 weeks	GBP365
	17 weeks	GBP370
	18 weeks	GBP385
	19 weeks	GBP400
	20 weeks	GBP410
	21 weeks	GBP420
	22 weeks	GBP435
	23 weeks	GBP450
	24 weeks	GBP460
	25 weeks	GBP475
	26 weeks	GBP490
	27 weeks	GBP505
	28 weeks	GBP520
	29 weeks	GBP540
	30 weeks	GBP555
	31 weeks	GBP570
	32 weeks	GBP590
	33 weeks	GBP610
	34 weeks	GBP630
	35 weeks	GBP650
	36 weeks	GBP670
	37 weeks	GBP690
	38 weeks	GBP710
	39 weeks	GBP730
	1 year (42 weeks)	GBP750

for prices of other courses, please email us

Starting Date: :

Payment

Type of payment :

Full amount: £

Sterling Bank Cheque (drawn on a U.K. bank)

Eurocheque / Traveller’s cheque (max. amount of £700)

International bank transfer
(charges paid by student + copy of transfer) - made payable to:

ELT BANBURY LTD
Our bank details: Barclays Bank
Bank sort code: 20-03-84
Account number: 00365637
IBAN : GB52BARC 20-03-84 00365637

Accommodation

Hostel Accommodation

Shared accommodation £80

Students who stay in the hostel share their rooms with three or four students from different countries, this adds to the cultural/linguistic experience of studying in London . The hostel has shared common areas such as the living-room, the kitchen and other facilities.

Host family

All accommodation is no more than 45 minutes commute from the school. There is a booking fee of £25. All prices are for 1 week.

Zone 3-4	SINGLE (pounds)	TWIN (pounds)
Self Catering or Bed & Breakfast	£110	£100
Breakfast & Evening Meals	£130	£112
Full Board	£150	£135

Twin room is only available for two students coming together who wish share a room. Eight days notice is required for cancellation and refund of accomodation fees. The booking fee is non-refundable.

I do not wish to use the online school

I have read and understood the terms and conditions of enrolment on the website and I confirm that the above details are correct.

© East London School of English | e-mail: info@elsenglish.com | tel. +44 20 7265 8868
First floor , 154-170 Cannon Street Road, Whitechapel, London, E1 2LH,England

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