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Useful Links

British Council
English UK
University of Bedfordshire
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Tour links
International Student Card
 
 
 
REGISTRATION FORM                                                                                                     Download Registration Form
Personal Details

Name of Student
(As shown on Passport) *

 
Date of Birth * / / [ dd/mm/yyyy]      
Gender                  
Age Today
Place of Birth
Address *  
Email*    
Country of Residence *  
Nationality *  
Passport Number
Passport Country
Phone (Landline)
Phone (Mobile)
Language Ability

How would you grade your Spoken English?
    
How would you grade your Reading English?
How would you grade your Writing English?
Do you speak any other languages?
If Yes, please indicate
Current level of English language study:
Information in case of Emergency

Name of Contact

Address
Telephone (Home)
Telephone (Work)
Telephone (Mobile)
Please give details of a second contact  
Name
Address
Telephone (Home)
Telephone (Work)
Telephone (Mobile)
Medical Information

Is there any important medical information we need to know?
If yes please give details
Do you have any special illnesses or allegies?
If yes please give details
Do you have any special needs?
If yes, please give details, particularly of the foods that you cannot eat
* I/We hereby give permission for any member of ELAS staff to administer First Aid or take me or to hospital should the need arise. I/We will not hold ELAS responsible for the implementation of the above.
ELAS Adult Courses
Please choose your desired Course *
Name of course        Start Date
     (dd/mm/yyyy)		         Duration
        (Weeks)

 

Course Code

 Course Mode Weekly Hours Course Duration [Please Choose]
GE-1 General English Full time 15 weeks £  
GE-2 General English Part time weeks £  
CE-1 Cambridge ESOL Full time 15 weeks £
CE-2 Cambridge ESOL Part time weeks £
IE-1 IELTS Full time 15 weeks £
IE-2 IELTS Part time weeks £
BE Business English Full time 15 weeks £
AE Academic English Full time 15 weeks £
ABE -1 Business Management £
ABE -2 Business Information Systems £
ABE -3 Travel, Tourism & Hospitality Managment weeks £
Course Total £
Collection

ELAS UK provides a collection and drop off service from the airport. Please tick if you would like to use this service

Airport

 Luton Leicester
Heathrow   £85   £120
Gatwick   £105   £145
Stansted   £95   £130
I do not require a collection service
Collection Total £

Drop Off

ELAS UK provides a collection and drop off service from the airport. Please tick if you would like to use this service

Airport

 Luton Leicester
Heathrow   £85   £120
Gatwick   £105   £145
Stansted   £95   £130
I do not require a Drop off service
Drop Off Total £
Travel  Insurance *

Declaration

* I have read and understand all the Terms & Conditions at: http://elasuk.com/terms&conditions.html
* I/We apply for admission to ELAS UK and certify that all the above details are correct to the best of my/our knowledge and I/We undertake to honor in full the requirements of my agreed study programme and all adventure weekends.
*For All Courses The Compulsory Registration Fee Is Now £300. (NON REFUNDABLE). This fee is in addition to the total cost of the course.  
I/We acknowledge and agree that all monies paid to ELAS UK are non-refundable. In the event that I am withdrawn from the programme, I/We agree to pay the full fees for the programme.
 
  Full Name *  
  Signature *  
  Date * (dd/mm/yyyy)  
  Relationship to Applicant  
     
      
   
 
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