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登録・お申込み


お申込はこちらです!


Personal Information
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First Name *
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Last Name *
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Gender * Male Female
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Date of Birth * Day Month Year
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Nationality
Postal Code
Country
Address
Telephone *
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Fax
Email *
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Instant Messaging ID Skype MSN Other
Emergency Contact
Relationship Telephone
Airport Pickup Do you require Airport Pickup?
Yes   No   If yes, please complete below
Arrival Date: Day Month Year (24 hour clock, EG:15:45)
Airplane Flight Number
Origin
Accommodation Do you require accommodation?
Yes   No   If yes, please complete below
Homestay Preferences
Standard Private bath
Full board
(3 meals per day)
Half board
(breakfast and dinner)
Non-smoking Smoking No preference
No pets Pets No preference
No children Children No preference
I cannot eat or I am allergic to
My hobbies and interests are
Accommodation dates
Start Date: Day Month Year
End Date: Day Month Year
Travel & Medical Insurance Do you require Travel & Medical Insurance?
Yes   No   If yes, please contact us for details
Course dates
Start Date: Day Month Year
Number of weeks: for weeks.
Course Selection
General English Program
General English 30 (GE)(30 lessons per week/one elective)
General English 15 (GE)(15 lessons per week)
1-to-1 Lessons
 
Fluency Specialist Courses
Speaking Clinic (30 lessons per week / one elective)
Speaking Clinic (15 lessons per week)
Speaking Test Master (30 lessons per week / one elective)
Speaking Test Master (15 lessons per week)
Interview Master (15 lessons per week)
 
College / University Pathway
College / University Pathway Program
(30 lessons per week/one elective)
 
IELTS PLUS
IELTS PLUS
(30 lessons per week)
 
Career English Courses
EIB - 30 lessons per week/one elective or specialist course
EIB - 15 lessons per week
Marketing English Specialist - 15 lessons per week
Hospitality and Tourism English Specialist - 15 lessons per week
Engineering English Specialist - 15 lessons per week
 
Additional Comments
 
Terms and Conditions *
I Certify that the above information is true and agree to iTTTi's terms & Conditions
*Required field
 
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