Application Form Spanish Semester Course

COURSES

(*) MANDATORY FIELD

Session(*)

Semester is required.

Level obtained from on-line test(*) Levels C2 and C2+ are not offered

Test Result is required.

Timetable(*)

Timetable (2nd choice)(*)

PERSONAL DATA

(*) MANDATORY FIELD

Surname(*)

Surname is required.

First Name(*)

First name is required.

DNI/Passport Number(*)

Passport Number is required.

Date of birth(*)

Date of birth is required.

Email(*)

Email is required.

Nacionality(*)

Nacionality is required.

Génder(*)

Telephone(*)

Telephone is required.

Home Address(*)

Home Address is required.

City(*)

City is required.

Postal Code(*)

Postal Code is required.

Country(*)

Country is required.

PAYMENT METHOD

Credit Card (Online) *American Express not accepted

Bank Transfer

Payment should made by bank transfer (€425), indicating the name and surname of the student and, as the concept, "Spanish Semester Course".
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
Current Account Number: 0049 6659 03 2816134203
Swift Code: BSCHESMMXXX
IBAN Code: ES46 0049 6659 0328 1613 4203
Please check that the amount transferred, after bank charges have been paid, corresponds to the course fee.
Said inscription will not be considered effective until the proof of payment is attached to this form.

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You must accept the conditions of the Data Protection Law.

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