ielts preparation courses 2017 registration form .ielts preparation courses 2017 registration form
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UC College English Language Centre
IELTS PREPARATION COURSES 2017
Registration Form Personal Details:
1. Family Name: _______________________________________2. Given Names: ___________________________________________________
_____________________________________ 3. Date of Birth: ______/______/______ 4. Nationality: _______________________________
5. Address: ____________________________________________________________________________________________________________
6. Telephone: __________________________ 7. Email: ___________________________________________________________________
8. Have you taken IELTS before? YES / NO
If YES Where?________________________ When? __________________________________ Which module? ACADEMIC / GENERAL
What were your scores? Listening ________ Reading ________ Writing _______ Speaking _______ TOTAL BAND SCORE ________
9. Why do you need to take IELTS? Further education YES/NO
Other (please specify) _____________________________________________
10. What score do you require? ______________ 11. Which module will you take? GENERAL / ACADEMIC
Course Details: (Please circle answer)
i. Which course do you wish to study?
IELTS EVENING COURSE beginning 3 January 2017 | 7 March 2017 | 23 May 2017 | 8 August 2017 | 24 October 2017
ii. Which modules do you wish to study?
If you cancel your application for a course more than 21 days before the start the course, we will refund 100% of your fees. To receive a refund, you must advise the University in writing of your decision.
If you cancel your application for a course less than 21 days before the start of the course, we will refund 60% of your fees. If you cancel your application for a course once the course has commenced, no fees will be refunded.
I declare that the information I have supplied on this form is, to the best of my understanding and belief, complete and correct.
I have read and understand the above refund policy.
Signature: __________________________________________________ Date: _______________________________
Disclaimer: The UC College undertakes to provide preparation for the IELTS test over the four weeks of the course in classes of 5 to 20 students, but cannot take
responsibility for individuals final test results.