IELTS PREPARATION COURSES 2017 Registration Form ?· IELTS PREPARATION COURSES 2017 Registration Form…

Download IELTS PREPARATION COURSES 2017 Registration Form ?· IELTS PREPARATION COURSES 2017 Registration Form…

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<ul><li><p> UC College English Language Centre </p><p> IELTS PREPARATION COURSES 2017 </p><p> Registration Form Personal Details: </p><p>1. Family Name: _______________________________________2. Given Names: ___________________________________________________ </p><p> _____________________________________ 3. Date of Birth: ______/______/______ 4. Nationality: _______________________________ </p><p>5. Address: ____________________________________________________________________________________________________________ </p><p>6. Telephone: __________________________ 7. Email: ___________________________________________________________________ </p><p>8. Have you taken IELTS before? YES / NO </p><p>If YES Where?________________________ When? __________________________________ Which module? ACADEMIC / GENERAL </p><p>What were your scores? Listening ________ Reading ________ Writing _______ Speaking _______ TOTAL BAND SCORE ________ </p><p>9. Why do you need to take IELTS? Further education YES/NO </p><p> Immigration YES/NO </p><p> Employment YES/NO </p><p> Other (please specify) _____________________________________________ </p><p>10. What score do you require? ______________ 11. Which module will you take? GENERAL / ACADEMIC </p><p>Course Details: (Please circle answer) </p><p>i. Which course do you wish to study? </p><p> IELTS EVENING COURSE beginning 3 January 2017 | 7 March 2017 | 23 May 2017 | 8 August 2017 | 24 October 2017 </p><p>ii. Which modules do you wish to study? </p><p>Writing YES/NO </p><p>Reading YES/NO </p><p>Speaking/Listening YES/NO </p><p>Refund Policy: </p><p> 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. </p><p> 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. </p><p>Declaration: </p><p>I declare that the information I have supplied on this form is, to the best of my understanding and belief, complete and correct. </p><p>I have read and understand the above refund policy. </p><p>Signature: __________________________________________________ Date: _______________________________ </p><p> 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 </p><p>responsibility for individuals final test results. </p></li></ul>