Online Student Enrolment Form

Joining us is easy!

To make sure your stay with us is as great as possible please complete the form below. It should take a few minutes. You DO NOT need to pay now and you are under no obligation to attend the school when completing the form. We will send you the costs and payment information after receiving your completed enrolment form.

If you are experiencing any difficulties in completing this enrolment form please contact us using the chat box.

English

* required information

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1 Personal Info
2 emergency Contact
3 Choice of course
4 insurance / visa
5 Where to stay
6 transport / submit
I am enrolling as...Please choose one


Have you studied at Capital School of English before?
Educational Tour Operator (ETO) Information
ETO Name
Your Full Name
ETO Reference Number
Personal Details
Title
First Name
Surname/Family name
Country of Residence
Nationality
Your first language
Gender
Over 18?Will you be over 18 at the start of your course?

All students must 16 at the time of travelling.
A parent/guardian will be required to complete and send us a signed copy of our Parental Consent Form before starting any course.  The Parental Consent Form will be sent to you with your invoice.

Date of Birth

Day
Month
Year
Passport/ID Number
Address in your countryPlease include zip code and country
0 /

Phone Number*

Code
Number
Add a photo (optional)send us a picture of you to use on your student ID card
Upload photo (optional)
Next of Kin / Emergency Contact
Title
First Name
Surname/Familly name

Phone Number*

Code
Number
Relationship to student
Level of English
Choice of Course
Type of CoursePlease choose a course
Future Success Dates2019
Course Start Date
Number of weeks

Capital School of English does not guarantee classes in the morning or afternoon.  Students will be placed according to their Placement Test and class availability

Standard Course - 15 hoursPlease choose a course
ENGLISH+ Course - 5 hoursPlease choose a course

All ENGLISH+ courses are subject to minimum student numbers

Additional Full Immersion Course - 15 hoursPlease choose a course
Additional Full Immersion Course - 15 hoursPlease choose a course
FCE
CAE
Are you intending on taking the Cambridge Exam?

A £100 course upgrade fee is applicable to all Cambridge English Exam Preparation Courses.

You will be required to complete our Cambridge Pre-Test in order to take this course. Capital School of English will contact you with the information required.

One to OnePlease select the number of hours per week
Student Insurance
Do you require Student Travel Insurance?Studentguard+ Travel Insurance £5.65 per week
Have you had any medical conditions in the last 3 years OR are you waiting for more treatment?
Please provide the name, address and contact telephone number of your doctor or hospital
0 /
Medical Conditions
Do you have any existing medical conditions?
Please tell us what condition you have and any medication you requireWe may need a medical certificate
0 /
Visa Students
Do you require a visa to come to the U.K.?
Short Term Visitor Visa Express Mail Service
Accommodation

FUTURE SUCCESS COURSES

All FUTURE SUCCESS courses are 2 weeks in length.

If you are booking additional General English courses before or after your FUTURE SUCCESS course please select the TOTAL number of weeks you will be studying.


Would you like Capital School of English to arrange any of the following accommodation for you?

CAPITAL SUMMER RESIDENCE

Sunday 1st July – Saturday 25th August 2018. 

All rooms contain 1 double bed, are en-suite and have their own cooking facilities.

All rooms are subject to availability.

A £100 CASH KEY DEPOSIT WILL BE REQUIRED ON ARRIVAL

Please provide us with your UK address
0 /
Number of weeks
Residence Number of weeks
Room Type
Residential Room Type
If Twin name of additional person
If double name of additional personthis person MUST BE a student studying at Capital School of English
Do have any allergies or medical conditions?
What allergies/medical conditions do you have?We will require medical proof
Do have special dietary requirements?
Special dietary requirements
PetsAre you allergic to any pets? If yes, we will require a doctor's certificate.
Which pets are you allergic to?
0 /

If you require a visa to come to the U.K.

Please supply the school with proof either by email (scanned copy) to info@capitalschool.co.uk or by fax (+44 1202 546873)


Student Visitor Visa Obligation:

It is the responsibility of the Visa National student to obtain the necessary visa in order to study in the UK for courses 1 to 24 weeks and 24 weeks to 44 weeks.

Transport
Do you require Capital School of English to arrange a taxi from the airport to Bournemouth?
Which airport?
Please tell us which airport
How did you hear about Capital School of English?Select as many as you wish

FUTURE SUCCESS COURSES

Please tell us below if you would like any additional English courses before or after your FUTURE SUCCESS course


Additional Comments or Promotional CodesPlease enter any comments/codes here
0 /
TERMS AND CONDITONS
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العَرَبِيَّة‎‎

معلومات مطلوبة*

[[[["field4","equal_to","ETO"]],[["show_fields","field5,field7,field8"]],"or"],[[["field148","equal_to","FCE"]],[["show_fields","field72,field71,field142"]],"or"],[[["field148","equal_to","CAE"]],[["show_fields","field68,field71,field142"]],"or"],[[["field64","equal_to","One to One"]],[["show_fields","field69"]],"and"],[[["field86","equal_to","YES"]],[["show_fields","field121,field87,field88,field89,field90,field91,field126,field125"]],"and"],[[["field94","equal_to","Homestay"]],[["show_fields","field95,field96,field98,field101,field99"]],"and"],[[["field101","equal_to","Yes"]],[["show_fields","field100"]],"and"],[[["field99","equal_to","DIET"]],[["show_fields","field103"]],"and"],[[["field106","equal_to","TAXI"]],[["show_fields","field107"]],"and"],[[["field136","equal_to","Twin"]],[["show_fields","field97"]],"or"],[[["field118","equal_to","ACCEPT"]],[["show_fields","field122"]],"and"],[[["field94","equal_to","No"]],[["show_fields","field134"]],"and"],[[["field94","equal_to","Summer Residence"]],[["show_fields","field95,field145"]],"and"],[[["field136","equal_to","Twin"]],[["show_fields","field97"]],"or"],[[["field98","equal_to","PETS"]],[["show_fields","field138"]],"and"],[[["field64","equal_to","FCE"],["field64","equal_to","CAE"]],[["show_fields","field139"]],"or"],[[["field74","equal_to","YES"]],[["show_fields","field140"]],"and"],[[["field140","equal_to","MED"]],[["show_fields","field141"]],"and"],[[["field23","equal_to","NO"]],[["show_fields","field139"]],"and"],[[["field64","equal_to","Standard"],["field64","equal_to","ENGLISH+"]],[["show_fields","field144"]],"or"],[[["field4","equal_to","INDIVIDUAL"]],[["redirect_to",null,"http:\/\/capitalschool.co.uk\/individual-thank-you\/"]],"and"],[[["field4","equal_to","ETO"]],[["redirect_to",null,"http:\/\/capitalschool.co.uk\/partners-thank-you\/"]],"and"],[[["field64","equal_to","Standard"]],[["show_fields","field148"]],"and"],[[["field64","equal_to","ENGLISH+"]],[["show_fields","field148,field149,field147"]],"and"],[[["field64","equal_to","FI"]],[["show_fields","field148,field131"]],"and"],[[["field151","equal_to","YES"]],[["show_fields","field152"]],"and"],[[["field4","equal_to","INDIVIDUAL"]],[["show_fields","field153"]],"and"],[[["field4","equal_to","ETO"]],[["hide_fields","field153"]],"and"]]
1 المعلومات الشخصية
2 بيانات التواصل في حالات الطوارئ
3 اختيار الدورة
4 التأمين/الفيزا
5 السكن
6 النقل / ارسل
I am enrolling as... أقوم بعملية التسجيل هذه ك:Please choose one


فريقنا في المملكة المتحدة للخدمات التعليمية مكون من مستشارين تعليميين . وهم اشخاص أكفاءٌ مخلصون، ومتوفرون دائماً للإجابة عن أسئلتكم واستفساراتكم حول دراسة اللغة الإنجليزية في مدرسة كابيتل للغة الانكليزية في مدينة بورنموث. بامكانكم التواصل معنا بسهولة ، خدماتنا مجانية تماما وبدون أي تكلفة.
عالم من الفرص بانتظارك.وللمساعدة في التسجيل في دورة تعليمية في مدرسة كابيتل للغة الانكليزية في مدينة بورنموث ، يرجى التواصل مع فريقنا في المملكة المتحدة للخدمات التعليمية باستخدام التفاصيل المذكورة ادناه.

UK Education Service Ltd

Tel: 0044 208 549 1727

WhatsApp: 00447712115465⁠

hassan.serjieh@ukeducationservice.com

Educational Tour Operator (ETO) Information بيانات الوكيل التعليم
ETO Name الاسم
Your Full Name اسمك بالكامل
ETO Reference Number رقم المرجع
Personal Details المعلومات الشخصية
Title العنوان
First Name الاسم الأول
Family name اسم العائلة/القبيلة
Country of Residence الدولة
Nationality الجنسية
Your first language اللغة الأولى
Gender الجنس
Over 18?Will you be over 18 at the start of your course?هل ستبلغ سن ال١٨ عند بداية الدورة؟

A parent/guardian will be required to complete and send us a signed copy of our Parental Consent Form before starting any course.  The Parental Consent Form will be sent to you with your invoice.

سوف نحتاج للوالد / ولي الأمر لاستكمال نموذج موافقة الوالدين وإرسال نسخة موقعة منها قبل البدء في أي دورة تعليمية. سيتم ارسال نموذج موافقة الوالدين مع الفاتورة.

Date of Birth تاريخ الميلاد

Day اليوم
Month الشهر
Year السنة
Passport/ID Number رقم الجواز / رقم الهوية
Address in your country العنوان في بلدكPlease include zip code and country يرجى اضافة الرمز البريدي
0 /

Phone Number رقم الهاتف *

Code فتح الخط الخاص بالدولة
Number الرقم
Add a photo (optional)send us a picture of you to use on your student ID card
Upload you photo (optional)
Next of Kin / Emergency Contact بيانات أحد الأقارب للتواصل في حالة الطوارئ
Title
First Name الاسم الأول
Family name اسم العائلة/القبيلة

Phone Number *

Code فتح الخط الخاص بالدولة
Number الرقم
Relationship to student صلة القرابة للطاب
Level of English مستوى اللغة الانجليزية
Choice of Course اختيار الدورة
Course Start Date تاريخ بدء الدورة
Number of weeks عدد الأسابيع
Type of Course نوع الدورة
Standard Course - 15 hours

Capital School of English does not guarantee classes in the morning or afternoon. Students will be placed according to their Placement Test and class availability
مدرسة الكابيتل الإنجليزية تقوم بتحديد الفترة الدراسية بعد تحديد إختبار المستوى. وبعد تحديد مستوى الطالب ،المدرسة تقوم بتحديد الفترة الدراسة سواً كانت في الصباح او بعد الظهر. و سيتم وضع الطلاب وفقا ل اختبار تحديد المستوى وتوفر الصف
English+ Course - 5 hours
All ENGLISH+ courses are subject to minimum student numbers
Additional Full Immersion Course - 15 hours دورات اضافية
FCE اختبار كامبردج في اللغة الانجليزية:المستوى الأول
CAE اختبار كامبردج في اللغة الانجليزية:المستوى المتقدم
Are you intending on taking the Cambridge Exam? هل لديك نية لأداء اختبار كامبريدج في اللغة الانجليزية؟
One to One واحد لواحدPlease select the number of hours per week

You will be required to complete our Cambridge Pre-Test in order to take this course. Capital School will contact you with the information required.

من أجل الدخول في هذه الدورة سوف يتطلب منك استكمال اختبارنا التحضيري الخاص باختبار كامبردج. إدارة المعهد سوف تتواصل معك لتوفير المعلومات المطلوبة.

Student Insurance
Do you require Student Travel Insurance? هل أنت بحاجة إلى تأمين صحي عند السفر؟
Have yo had any medical conditions in the last 3 years OR are you waiting for more treatment? هل كانت لديك أي ظروف طبية خلال الثلاث سنوات الماضية أو تنتظر المزيد من العلاج الطبي؟
Please provide the name, address and contact telephone number of your doctor or hospital يرجى تقديم الاسم والعنوان ورقم الاتصال الخاص بهاتف الطبيب أو المستشفى الذي تتلقى العلاج فيه
0 /
Medical Conditions
Do you have any existing medical conditions?
Please tell us what conditions you have and any medication you requireWe may require official documentation of your condition
0 /
Visa Students
Do you require a visa to come to the U.K.? هل انت بحاجة إلى الحصول على تأشيرة لدخول حدود المملكة المتحدة؟

If you require a visa to come to the U.K. please supply the school with proof either by email or fax.

إذا كنت بحاجة إلى تأشيرة لزيارة المملكة المتحدة, يرجى تقديم نسخة معتمدة إلى المعهد عن طريق البريد الإلكتروني أو الفاكس

It is the responsibility of the Visa National student to obtain the necessary visa in order to study in the UK for courses 1 to 24 weeks and 24 weeks to 44 weeks.

يتحمل الطالب مسؤولية الحصول على التأشيرة المناسبة للدراسة في المملكة المتحدة للدورات التي تستمر من إسبوع واحد إلى أربعة وعشرين إسبوع أو أكثر من ذلك

Short-term study visa (SVV) Express Mail Service تأشيرة الدراسة قصيرة الأجل (SVV) خدمة البريد السريع
Accommodation السكن
Would you like Capital School of English to arrange any of the following accommodation for you?هل ترغب من إدارة المعهد بتوفير سكن خاص بك أثناء إقامتك في المملكة المتحدة، يرجى اختيار نوع السكن من القائمة التالية؟

CAPITAL SUMMER RESIDENCE

Sunday 25th June - Sunday 27th August 2017.  All Rooms are single, en-suite rooms only and are subject to availability.

Please provide us with your UK address يرجى كتابة عنوان الاقامة في بريطانيا
0 /
Number of weeks عدد الأسابيع
Room Types نوع الغرفة
Name(s) of additional people اسم الشخص المرافق
Do have any allergies or medical conditions? هل لديك أية مشاكل صحية أو حساسية؟
What allergies/medical conditions do you have? ما نوع الحساسية أو المشاكل الصحية التي تعاني منها؟
Do have special dietary requirements? هل تتبع نظام غذائي معين أو متطلبات غذائية خاصة ؟
Special dietary requirements متطلبات غذائية خاصة
PetsAre you allergic to any pets? If yes, we will require a doctor's certificate. هل لديك حساية ضد أي من الحيوانات الأليفة اذا كانت الإجابة بنعم, سوف نحتاج إلى شهادة طبية
Which pets are you allergic to? أي الحيوانات الأليفة لديك حساسية منها
0 /
Transport النقل
Do you require Capital School of English to arrange a taxi from the airport to Bournemouth?هل ترغب من إدارة المعهد في توفير سيارة تاكسي لنقلك من المطار إلى مدينة بورنموث؟
Which airport?
Please tell us which airport
How did you hear about Capital School of English? لقد سمعت عن المعهد هذا عن طريق:Select as many as you wish
Additional Comments or Promotional Codes أي ملاحظات اضافية أو رموز للتخفيضاتPlease enter any comments/codes here
0 /
TERMS AND CONDITONS الشروط والأحكام
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By completing this Online Student Enrolment Form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your information.

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