Activities Form - CSIdiomas

(*) MANDATORY FIELDS

Are you studying a language course at our center?

Activity/Course(*)

Price (€)

Last name(*)

Last name is required.

First Name(*)

First name is required.

ID/Passport Number(*)

ID/Passport Number is required.

Email (must be unique)(*)

Email is required.

Confirm Email(*)

Please confirm your email.

Gender(*)

Please choose an option.

Given e-mail address must be unique.
THERE CANNOT BE 2 people with the same email address. No error will be shown but filled out data will not be saved.
Make sure you specify an email address and do read on a regular basis and do not forget to check your SPAM folder.

Date of birth(*)

Date of birth is required or format is wrong (yyyy-mm-dd).

Teléfono(*)

Por favor introduce tu número de teléfono.

Nacionality(*)

Nacionality is required.

WhatsApp (With country code)(*)

Por favor introduce tu número de teléfono con prefijo de tu país.

Instagram Profile

Student Programme(*)

PAYMENT METHOD

Credit or Debit Card (Online) *American Express not accepted

Credit or Debit Card (In Centro Superior de Idiomas)

Bank Trasfer

Account Holder: Centro Superior de Idiomas de la Universidad de Alicante, S.A.U.
Bank: Banco Santander
Branch: Plaza de los Luceros, 1 03001 Alicante
Account Number: 0049 6659 03 2816134203
Swift Code: BSCHESMM
IBAN Code: ES46 0049 6659 0328 1613 4203
Concept: Activity + Surname,Name (student)

I have read and accepted the conditions referring to Registration for Activity/Course

You must accept the conditions of Registration for Activities.

I have read and accepted the conditions relating to the General Data Protection Regulations

You must accept the conditions of the General Data Protection Regulation.

To verify that you are human, please enter the result of the following sum: