Book an ELT Course at Basil Paterson

Name:

  male   female

Date of birth: (day/month/year)

Nationality:

Mother tongue:

Home address:

City:

Postcode:

Country:

Telephone:

Fax (if available):

E-mail address:

Employment  

If you are working, occupation:

Employer's name:

Employer's address:

City:

Postcode:

Work telephone:

Education  

If you are a student, subject:

Name of educational institution:

Address of
educational institution:

City:

Postcode:

Which academic year
are you in?: Please select First Second Third Fourth Post-graduate

How did you hear about
Basil Paterson College? select a source British Council Agent Website Advertisement Friend Other

Which course would you
like to attend?  

Course name:

Start date:

Finish date:

Please assess your current
level of English, as
accurately as you can: Please select level Very Advanced Advanced Upper Intermediate Intermediate Pre-Intermediate Post-elementary Elementary

For students doing 1-to-1 tutorials: do you have any special requests?

Accommodation required  

Bed & breakfast only host family accommodation
executive host family accommodation

Half-board
(7 breakfasts &
5 evening meals) host family accommodation
executive host family accommodation

Self-catering host family accommodation

July & August only University halls of residence Bed & Breakfast
University halls of residence Half-board

Please list any allergies
you may have:

Interests and pastimes:

  Non-smoker  Smoker

Arrival date in Edinburgh:

At this time:

By: Please select Car Train Plane Bus

Departure date:

If you are not using
our accommodation service,
please give a contact telephone number in Edinburgh:

*Your accommodation is normally reserved from the day before your course
begins until the day after your course ends.

I have read the Conditions. I am sending a deposit of 300 GB Pounds.

I will be responsible for payment of the fees.
(If not, please give the name and address of the sponsor):

As soon as we receive your deposit of 300 GB Pounds, we will book a place on
your chosen course and reserve your accommodation if required. Please send a
copy of the bank transfer by fax.

Bank Details
Fortis Bank NV-SA
23 Camomile Street
London EC3A 7PP

Account Name: The Language School Company Limited
Account Number: 38957707
Sort Code: 40-52-62
IBAN No: GB24GEBA40526238957707
Swift Code: GEBAGB22