Online enrolment

Online enrolment adult programme 17+

Personal data

First name*:

Last name*:

Sex*:

Date of birth*:

Occupation*:

Address*:

Zip*:

City*:

State/county/prov.:

Country*:

Telephone 1*:

Telephone 2:

Telefax:

E-Mail*:

Website:

Language knowledge

Mother tongue*:

Other languages:

Where did you learn german?*

Where else?

How long did you learn German?*

How many years ago did you learn German?*

HELP for self assessment on the right

Your level*:

Additional information:

Courses & services

Main course

Lessons main course:

Weeks main course*:

Starting date main course:

Trimester course

Lessons trimester course

Weeks trimester course

Starting date trimester course

Individual course

Lessons individual course

Weeks individual course

Starting date individual course

Individual lessons

Number of individual lessons

Your preferred schedule for indiviual lessons (arranged in afternoon after main/trim. course)

Stage

Stage:

Examinations

Examination:

Additional booking:

Accommodation

Accommodation type*:

Room type*:

Allergies:

Smoker:

Arrival*:

Airport transfer:

Flight details:

Payment

Payment method*:

Payment details*:

I will make a deposit of EUR 300.-- within the next 3 days. I will pay the rest at latest before the course starts.*
I already made a deposit of EUR 300.-
I already effected full payment

Special requests

Special requests

Conditions of participation

Conditions of participation*:

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