Enrolment Form
Enrolment Form
Enrolment Form
Enrolment
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Fortheenrolmentofundereighteensthewrittenauthorizationoftheparentsisneeded.
Toeffectenrolmentanenrolmentformmustbecompletedandsentbyfax,postoremailtothecentralofficeinPisa,withthe
receiptoftheasvancepaymentrequested.
Theadvancepaymentistheequivalentof30%ofthetotalpriceofthecoursechosen,plus70euroenrolmentfee
Typeofpayment
Theadvancepaymentcanbepaidby:1)internationalpostalorder,2)paymentintoCurrentBankAccount:3)CreditCard
IstitutoLinguisticoMediterraneoViaC.BattistiN3I56100Pisa(Italy)
BancaCRFirenzePisaBranchCorsoItalia,2
c/cn0718/39240189
IBAN:IT78S0616014000071839240189BIC:CRFIIT3FBranchcode:01706
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ThereceiptoftheadvancepaymentmustbesenttotheSecretaryofthePisaoffice.
OnreceiptoftheadvancepaymenttheSecretaryinPisawillconfirmtheenrolmentandatthesametimetransmitthethe
addressoftheaccommodation.
Thebalancemustbepaidonthedayofthecourseentrytest.
Anybankchargesmustbepaiddirectlytotheschoolwiththebalance.
Thelessons
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ThelessonstakeplacefromMondaytoFridayanddonottakeplaceonpublicholidaysoftheItaliancalendar.Lessonsmissed
forholidayswillbemadeup.
Onthedayoftheentrytestlessonsarenotheld.
Theabsolutebeginnersmustbeginthecourseonthedatesindicatedonthecalendarofthecourses.
Ifthenumberofenrolmentsmakesitnecessary,thelessonswillbeheldintheafternoon.
Intherarecasesinwhich,aftertheentrytest,thereisonlyonestudentinaclass,the4hoursofgrouplessonswillbeconverted
into2hoursofindivi2,54duallessons.If,ontheotherhand,thereare2or3studentsthe4grouplessonswillbereducedto1
hour(3lessonsinsteadof4)inconsiderationofthefactthatlessonsinsuchsmallgroupsaremoreintensive.
TheschoolreservestherighttoturnGBclassesintoMIclasseswiththreeindividuallessonsperweekincasethatthenumber
ofgroupstudentsislesserthanthree.
Cancellation
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Ifacancellationiscommunicatedwithin30daysofthebeginningofthecourse,theadvancepaymentwillberefundedminus
bankorpostalcharges,iflessthan30days,theadvancepaymentwillbewithheld.
Oncethecoursehasbegun,norefundismade,eitherfordiscontinuousattendanceofthelessons,orforabandonmentofthe
course.Ifthecourseisabandonedforreasonsbeyondthecontrolofthestudent,thereisthepossibilityofreceivingavoucher,
tobeusedwithin12months.
Thepaymentforthecourseisnottransferabletoanotherperson.
Visaforpurposesofstudy
Studentsfromcountrieswhereavisaisrequiredforpurposesofstudycanobtainacertificateofenrolmentinourcourseswhichcan
thenbepresentedtotheappropriateauthorities.Inthiscasetheentirecostofthecourse,forwhichtheywillreceivethecertificate
andaninvoice,mustbepaidinadvance.Ifthestudentdoesnotobtainthevisa,he/shemustinformtheschoolinwritingenclosinga
documentthattestifiestherefusaloftheauthoritiesoralltheoriginaldocumentsreceivedbytheschool..Inthiscasetheschoolwill
refundtheentiresumpaidforthecourse,afterdeductionofpostalorbankcharges,minustheenrolmentfeeof70euro.
Aftertheissueofthecertificate,itisnolongerpossibletoobtainacancellationorchangeofdateswithoutreturningtheoriginal
enrolmentcertificate.
Oncethevisahasbeenobtained,intheeventofnonattendanceofthecoursearefundwillnotbegiven.Inthecaseofserious
reasonsitwillbepossibletohaveavoucherthatcanbeusedbyanotherpersonandisvalidfor12monthsfromthedateofissue.
Theexpensesforsendingthecertificatebycourierorexpresspostarebornbythestudent.TheIstitutoLinguisticoMediterraneowill
communicatetotheappropriateauthoritiesthenameofthestudents,forwhomthecertificatehasbeenissuedfortheapplicationfor
theVisa,whohavebeenabsentfromlessonsformorethan2dayswithoutinformingtheSecretary.
Accommodation
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Theserviceofreservationofaccommodationisfreeofchargeandtheschoolisnotresponsiblefortherelationsbetweenthe
studentandtheowner.
Paymentoftheoutstandingamountforthebalancetheaccommodationbookedbytheschoolmustbemadewithintwodaysof
arrival
Ifthestudentdecidestochangeaccommodation,he/shemustinformtheowneratleast2weeksinadvance.Thesetwoweeks
mustinanycasebepaid.
Thecostsofanydamagecausedtotheaccommodationmustbereimburseddirectlytotheowner.
Intheaccommodationbookedbytheschool,studentsmustbehaveinsuchawayasnottodisturbneighboursoranycotenants.
Thebookingoftheaccommodationisstrictlypersonalandthepresenceofguestsmustbenegotiateddirectlywiththeowner.
Insurance
Studentsarecoveredbyinsuranceonlyinsidetheschool.Wethereforeadvisestudentstotakeoutinsurancebeforeleavingtheir
countryoforigin.
Photoandvideo
theschoolreservestherighttousephotoorvideorecordingtakenduringthecourseorthefreetimeactivitiesforpromotional
purposesonly.
Ifthestudentdoesnotagreewiththepublicationofthismaterial,youmustlettheschoolknowinwritingwithinamonthfromthe
photoorvideorecording.
Thismaterialhasnocommercialvalueanddonotconstituteacontractualagreement.
ENROLMENTFORM
Print the form, fill it in, either typewritten, or in legible handwriting, and send it by e-mail to:
[email protected], or by mail to:IstitutoLinguisticoMediterraneo,ViaBattistiN3C.P.209,
I56100Pisa(Italia)orbyfaxat++3905048157
Mrs.
Name:
Surname:
Dateofbirth:
Address:
Postalcode:
State:
Tel.:
PassportN
Dateandtimeofarrival:
Allergies:
Profession:
Miss
Mr.
Nationality:
City:
Country:
Fax:
email:
Validuntil:
IwilltravellingbycarYESNO
SmokerYESNO
Ihaveheardaboutyourschoolfrom:____________________________________
PresentknowledgeoftheItalianlanguage
Little
Medium
None
Good
Iwouldliketobookthefollowingcourse(typeofcourse)________________________
from______________________to______________________for_______weeks.
Ichoosetheschoolin:
PISA
VIAREGGIO
Accommodation
Please,donotreserveanyaccommodation
Iwouldliketoreserveaccommodation(pleaseindicatetwopossibilities)
Family
Bedandbreakfast
Halfboard
Roominapartmentwithcommonkitchenandbathroom
Apartment
Hotel
Ifpossible,Iwouldlikeasingleroom
(ifsingleroomsarenotavailable,theschoolwillautomaticallyreserveabedinadoubleroom)
Ihavepaid30%ofthetotalpriceofthecoursechosenandoftheaccommodation+70Euro
enrolmentfeeby:
Internationalmoneyorder
PaymentintoCurrentBankAccount(please,communicatetheTransferReferenceNumber)
IdeclarethatIhavereadtheschoolregulationsandacceptthem
In virtue of D. Lgs. n. 196/03 I authorize Istituto Linguistico Mediterraneo to handle my personal details in order to carry out the
enrolment:
Yes
No
(Yes is mandatory)
In virtue of D. Lgs. n. 196/03 I authorize Istituto Linguistico Mediterraneo to handle my personal details in order to promote the
study courses at the school:
Yes
No
(yes is not mandatory)
Date_____________
Signature_________________________