Application Form

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Title: *

First Name: *

Last Name: *

Date of Birth: *

Postal Address: *

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Nationality: *

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Occupation: *

Company Name:

Phone Contact

Work:

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Home:

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Mobile:

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Fax

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Work:

Home:

Email Address: *

The Alliance Française reserves the right to reject applications for student enrolment
Student remains in good standing as long as their fees have been paid up.
Course fees and the annual registration fee are payable in advance at the time of registration.
No refund or credit will be granted for partial, discontinued or interrupted attendance of a course.
In case of payments by installments, if the student drops out of the course, they will still have to pay the balance they agreed on paying on registration.
Prior to gaining admission to classes, the teacher will require proof of payment of fees. Therefore, the student must ensure they have their receipt for each payment made.
The signatory hereto indemnities the Alliance Française against liability of whatsoever nature and howsoever arising for loss or damage to property, injury or death while on the premises of the Alliance Française.

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I have read the rules and regulations governing registration with the Alliance Française and hereby accept the conditions as set out above.

I certify that all the above information is true.