REGISTRATION FORM

This registration form will be treated with the utmost discretion and is necessary for management quality as well as for further orientation of the contents of the programme in terms of the interests and requirements of all participants. Therefore please fill in the form in all parts and transmit it using the button at the end of the form.

Personal Student Information:

Student name:
Student surname:
Place of birth of the student (optional for adult students):
Date of birth of the student (optional for adult students):
Student address (Street, Road, Square...):
Post Code:
Town:
Province/State:
Country:
Tel:
Mobile:
Fax:
E-mail:
If TLC arranges accomodation on your behalf, you are required by law in compliance with the Law on Privacy 196/03, to inform your host family/ hotel recepetion of any allergies, food intollerances or any handicaps yo may have.
Name and Surname of parent or guardian (only for children below 18 years of age):
Other useful telephone number:

Professional Information of the Student:

Name of the company in which you work:
Company address:
Tel:
Fax:
E-mail within the company:
Web site of the company:
Professional field in which you work:
Position:
Description of your duties:

Information regarding the programme chosen:

Expectations:

What is the objective that you would like to achieve at the end of the course?:
In your opinion what priority do you give to the following linguistic functions? (MIN 1 - MAX 5):	Oral Production
	Written Production
	Listening and Understanding
	Reading and Understanding

Information for the final invoice:

Invoice in the name of:
Tax code:
VAT number:
Address to which the invoice should be sent (fill in only if the address is different from the one initially indicated):

Preliminary Notes for the Course:

NOTES:

ATTENTION!

In the case that the TLC confirmation requires an advance payment, registration will be done only once a copy of the bank transfer or post office payment has been sent by fax, for the total invoice amount indicated in the confirmation itself.

Authorisation for the handling of information for participation in the course (In the case of a negative authorisation for this use, TLC will not be held responsible for the teaching and logistic quality of the programme):	Yes No
Authorisation for the handling of information for special TLC promotions:	Yes No
Authorisation for the handling of comments indicated in final feedback for TLC reference:	Yes No

Don't forget to send the completed test!

Course chosen (Include the code indicated in the TLC confirmation):
Chosen foreign language:
Type of Course:	Individual (1 student) Semi-individual (2 students) Group (3 students or more)
Number of hours (in the case of a course without a predefined number):
Number of Days (in the case of a course without a predefined calendar):
Hours (in the case of a course without predefined times):
For how long have you been studying the language?:
Where did you study it?:
What kind of course did you follow?:
Have you already followed a course with us?:
If yes, when?:
Last grade/level acquired in the following international linguistic evaluation systems:	TULPA (TLC Exclusive):
	TOEIC:
	TOEFL:
	CAMBRIDGE:
	ALTE:
	COUNCIL OF EUROPE:
	CILS:
	CELI:
	GOETHE INSTITUT:
	INSTITUTO CERVANTES:
	ALLIANCE FRANÇAISE (DELF/DALF):
Projects in which you are involved and for which you need to know the language:
The functions that you require are (place a cross alongside each one):	Work appointments Telephone contacts Trade exhibitions Business letters Meetings and conferences Trips Assistance to foreign partners General conversation
Are you sure that you are capable of using the correct linguistic terms during a conversation?: