Application Form Spanish Semester Course

Courses

(*) MANDATORY FIELD

Session(*)

Level obtained from on-line test(*)

Levels C2 and C2+ are not offered

Timetable(*)

Timetable (2nd choice)(*)

Personal Data

Surname(*)

First Name(*)

Nacionality(*)

Gender(*)

MALE FEMALE

Date of birth(*)

DNI/Passport Number(*)

Home Address(*)

Postal Code(*)

City(*)

Country(*)

Telephone(*)

E-mail(*)

Payment Method

Credit Card (Online) *American Express not accepted
Credit Cards

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.

Send the proof of payment:

Attach payment(*)

(Max. size 10Mb) (pdf|gif|jpg|png|zip|rar)

To verify that you are human, please enter the result of the following sum:
7 + 6 =

I have read and accept the terms and conditions related to the Data Protection Law