scheda - Lord Byron College

Course registration form

YOUR PERSONAL INFORMATION (OR PERSONAL INFORMATION OF YOUR PARENT IF YOU ARE UNDER 18 YEARS OF AGE):
Name*
Surname*
Date of birth*

DD
MM
YYYY
Place of birth*
Identity card or passport*
Accepted file types: jpg, gif, png, pdf, bmp.
Attach a photocopy of identity page of your passport or both sides of your identity card here
Address*
Street address City * Post code * Country *
PERSONAL INFORMATION: STUDENTS UNDER 18
Name and Surname
Date of birth

DD
MM
YYYY
Place of birth
Address to send course materials*
- Come sopra
Cell phone number with nation prefix*
Email*
Occupation or study programme*
Registers for the following course:*
Registration fee*
- € 120
Course programme*
with the following payment conditions:*
- REGISTRATION FEE AND EDUCATIONAL PACKAGE AND COURSE IN ONE PAYMENT AT THE MOMENT OF REGISTRATION
- REGISTRATION FEE AND EDUCATIONAL PACKAGE AND HALF OF THE COURSE COST AT THE MOMENT OF REGISTRATION, WITH PAYMENT OF SECOND HALF OF COURSE BY THE MIDDLE OF THE COURSE
Terms and conditions*
- I confirm that I have read and fully accept the terms and conditions of this contract.
Treatment of personal data*
- I agrre to the treatment of my personal data for the purposes of this contract.
Date:*
Date Format: DD slash MM slash YYYY

PAYMENT: at the school office in Via Sparano 102 or by bank transfer to: LORD BYRON COLLEGE, UBIBANCA BARI, IBAN IT95V0311104007000000011461 (SWIFT / BIC BLOPIT22 for payments from foreign accounts), indicating the name of the student enrolled in the course and sending a copy of the bank transfer in pdf to: [email protected]

Course registration form

YOUR PERSONAL INFORMATION (OR PERSONAL INFORMATION OF YOUR PARENT IF YOU ARE UNDER 18 YEARS OF AGE):

PERSONAL INFORMATION: STUDENTS UNDER 18