Book a University Foundation Course at Basil Paterson

Family name:
First name:
  male   female
Nationality:
Mother tongue:
Date of birth: (day/month/year)
Address:
City:
Postcode:
Country:
Telephone:
Fax:
E-mail address:
Name of parent/guardian/
next of kin:
Address
(if different from above):

How did you hear about
Basil Paterson College?

Course start: September

Have you taken an IELTS test: yes   no
Score:
Date: (day/month/year)
Are you qualified to enter university in your home country: yes   no
Have you applied to enter university in your home country: yes   no
Have you been accepted to enter university in your home country: yes   no
Which subject(s) do you want to study at university:
Which subject(s) do you want to study at Basil Paterson? chose TWO: Accounting
Business administration
Computing
Economics

Accommodation  
Do you wish us to arrange accommodation for you: yes   no

If yes, please give the
following information:  

Start date:
Finish date:
What type of accommodation do you require: Half-board
Executive half-board
Self-catering
Bed & Breakfast
Do you smoke: yes   no
Please provide any other information that may be relevant (eg. hobbies, special diet, medical conditions etc):

Flight details  

Arrival UK airport:
Arrival flight no:
Arrival date:
Arrival time:

Departure UK airport:
Departure flight no:
Departure date:
Departure time:
Transfer required: yes   no


*Please do not forget to post/fax/email:
1. A reference from your head teacher of your school
2. Copies of your school-leaving certificates, translated into English.

As soon as we receive your deposit of 1000 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

I have read, and agree to abide by, the Conditions of Enrolment as published
by Basil Paterson College. I am sending a deposit of 1000 GB Pounds