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German course registration

Title*:


Last Name*:
First Name*:
Date of birth*:
In case of minors, name of parent/guardian:
Address*:
City/post code*:
Phone:
E-Mail*:
Profession:
Nationality*:
Native language*:
I would like to register for the following course:*:
Intensive Course (20 units/week)
Summer Course with leisure programme, 28.06.-03.09.2021 (20 units/week)
Intensive with Conversation (25 units/week)
Intensive with Writing (25 units/week)
Intensive with Conversation and Writing (30 units/week)
Intensive plus Private Lessons (25 units/week)
Intensive plus Private Lessons (30 units/week)
Intensive plus Exam Preparation Course (30 units/week)
Exam Preparation Course only (10 units/week)
Super-Intensive (30 units/week)
Semi-Intensive (8 units/week)
Evening Course (4 units/week)
Weekend Course (8 units/week)
Private Lessons
Exam*:
Exam*:
Number of lessons*:
Beginning Date*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Comments:
I have some knowledge of the language at the following level*:
Where and for how long have you learned German::
Other foreign language knowledge:
Would you like to register for a telc exam?:


I would like to sit a German telc exam at Ehrstein:
Date of exam:
Do you need accommodation?:


Accommodation*:
Comments:
Other Services:
University service "complete"
University service "on-site only"
Health insurance: Care College Comfort
Health insurance: Care Economy
Liability insurance (mandatory for bookings with accommodation)
Airport transfer service

Other

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