Learn English in Malta
Anmeldung GV Malta

Registration

About you
    Mr Ms
Family name First name
Nationality Date of birth
Address Town, Area
Country Telephone
Email Fax
Languages Spoken
       
Your chosen course
Course title
Other course /
course comments
Course start
Number of weeks
Your approximate level
   
Accommodation
Accommodation required   Yes    No
Arrival date
Departure date
Homestay, Halfboard Single room Single room ensuite
Twin room Twin room ensuite
Triple room
Homestay, Fullboard Single room Single room ensuite
Twin room Twin room ensuite
Triple room
School Apartments, Selfcatering Single room in shared apartment
Shared room in shared apartment
Triple room in shared apartment
1-Bedroom apartment
2-Bedroom apartment
3-Bedroom apartment
Residence Portobello 2-Bedroom apartment
Single room in shared apartment
Twin room in shared apartment
Other accommodation
Do you smoke? Yes    No
Special needs  
Airport Transfer  
Transfer required Yes No
Arrival date   (if known)
Airline   (if known)
Arrival time   (if known)
Flight number   (if known)
Comments
 
I have read and understand the Terms & Conditions .
 
 
If you can't send the registration form, simply "Copy" and "Paste" the information on the previous page in to an email to info@learn-english-in-malta.com .
 
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