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BEE SIGNUP

Enrolment Form

Enrollment Information
1. Where would you like to study?
2. At what level of intensity would you like to study?
3. How long would you like to study?	weeks.
4. When would you like to start?
5. What type of housing do you want?
Personal Information
Family Name
Given Name
Other Name
Address
Address 2
City
State/Province
Country
Zip/Postal Code
Private Phone
Work Phone
Fax Number
E-Mail
Date of Birth
Country of Birth
Country of Citizenship
Where did you hear about us?
Your language level now
Occupation?
Employer or school name?
Health
Do you have any existing medical conditions/alergies?
If yes please specify
Do you smoke?
Insurance
Do you wish to take our Cancellation Insurance Policy?
Do you wish to take our Medical Insurance Policy?
(Please note: it is obligatory for student to have medical coverage if going to USA, Canada or Australia. We advise all students to take out medical coverage, whatever their school destination)
International Courier Service ($50)
Do you wish to have your enrolment confirmation and visa documents sent to you by International Courier?
(Please note: This service is compulsory for students requiring entry visas who enroll less than 30 days prior to the course start date. It is also strongly recommended for all countries requiring submission of original documents to obtain a visa.)