TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
SPROGKURSUS
LANGUAGE COURSE
COURS DE LANGUES
Please fill out in Danish or English.
Date:
First name:
Last name:
Address:
Country:
Telephone:
Mobile:
E-mail:
Nationality:
Occupation:
Education:
Birth date:
Do you smoke?
yes
no
Course:
Course type:
Course town:
No. of lessons pr. week:
Lodging:
kollegium/college
lejlighed/apartment
på skolen/at school
privat indkvartering/private lodging
dobbeltværelse/double room
enkeltværelse/single room
Board:
helpension/full board
morgenmad/breakfast
halvpension/half board
ingen pension/no board
How long have you studied the languague you are signing up for?
years
months
hours per week
Arrival date:
No. of weeks:
weeks
Who to contact in case of illness, emergency, etc.
First name, last name
Address
Telephone
E-mail:
Eventuelle bemærkninger:
Comments:
How did you find Exis?