Application Form Semester Erasmus/Exchange Course
Personal Data
(*) MANDATORY FIELD
Surname(*): 
First Name(*): 
Nacionality(*): 
Gender(*):  MALE      FEMALE
Date of birth(*): 
DNI/Passport Number(*): 
Home Address(*): 
Postal Code(*): 
City: 
Country: 
Telephone(*): 
E-Mail(*): 
University(*): 
University Code: 
COURSE ENROLMENT
Level obtained from on-line test(*):    Levels C2 and C2+ are not offered
(The online placement test is obligatory except for Absolute Beginners.)

Semester Courses
(all levels): 

26th September - 15th December, 2016

13th February - 04th May, 2017


Timetable:
Timetable (2º Choice):
ENROLMENT PROCEDURE
1.- Pay the course fee: €30 (deposit to be returned)

2.- Payment method, bank transfer into the following current account:
  • Account Holder: Centro Superior de Idiomas, S.A.U.
  • Bank: Banco Santander
  • Account Number: 0049.6659.03.2816134203
  • Swift Code: BSCHESMM
  • IBAN Code: ES4600496659032816134203

Important:

  • When making the bank transfer or payment, ensure that the following appears: "NAME AND SURNAME + SEMESTER ERASMUS/EXCHANGE COURSE"
  • Ensure that bank charges are met by the payer.

3.- Send the proof of payment by any of the following means:
  • Email: socrates@csidiomas.ua.es
  • Fax: +34 96 590 37 94
  • Postal Service:
    Cursos de Español, Centro Superior de Idiomas, Universidad de Alicante
    Ctra. Alicante/San Vicente, s/n
    03690 San Vicente - Alicante (España)

If the Form is not sent on-line, a completed, signed paper copy may be sent to the postal address or fax number given above, together with the proof of payment. .


4.- If you need it, go to our accommodation service.
You are advised to print out a copy of this form as proof of sending.

To verify that you are human, please enter the result of the following sum:
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I have read and accept the terms and conditions related to the Data Protection Law 
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