IELTS PREPARATION COURSES 2017 Registration Form ?· UC College English Language Centre IELTS PREPARATION…

Download IELTS PREPARATION COURSES 2017 Registration Form ?· UC College English Language Centre IELTS PREPARATION…

Post on 09-Jul-2018

212 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

<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>