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Section 1 - Personal Information
First name	Family name
Preferred Name	Male Female	Nationality
Date of Birth	Native Language

Home Address
City/Town		Country	Postal Code
Phone No.		Fax No.	Occupation
Email			First Language
Other Language	�@

NZ Address
Phone No.		Email
Fax No.		Contact Person for emergency?

How did you hear about Sheffield School?	Agency Recommendation Advertisement
How did you book this course?	Name of Agent		Direct Contact (Walk-in)	yes

Section 2 - Course Information
Start Date		No. of Weeks		End Date

Please indicate your English level 0=no english / 6-advanced
0 1 2 3 4 5 6
How long have you been studying English?	year(s)

Please check the course you wish to enrol.
General English Courses	Examination Courses	School Preparation		Study & Activity
Beginner	IELTS	High School		Skin Scuba
Elementary	Cambridge PET	University		Wind Surfing
Pre-Intermediate
Intermediate	Cambridge FCE	�@	�@	Yachting
Upper-Intermediate
Advanced	Cambridge CAE	�@	�@	Golf
Special courses	Study & Work Course	Study & experience Course
Part time	Full time	�@

Section 3 - Accommodation Details

Arrival date
/Flight No.

�@

Accommodation Start Date

End Date

Homestay Flatting/Lodging Apartment

Room

Single Twin

Do you Smoke?

yes No

Special request e.g. vegetarian, allergies, dietary, etc

yes

Please Check the course you wish to enrol
General English Courses		Examination Courses
Beginner/Elementary		IELTS-Gen.
Pre-Intermediate		IELTS-Univ.
Intermediate		Essay Special
Upper-Intermediate		Essay Special
Upper Intermediate/Advanced		�@
Part time		Full time

When you have completed the enrolment form, carefully check all details. Make sure that you have answered all the questions correctly and that you have signed at the bottom of this page.
Send this form to the school by fax or mail.
When we receive the form, we will send you a confirmation for the programme you have booked along with the corresponding invoice.

I have read, understand and accept the conditions of tution and/or homestay printed on this enrolment form.

Signature of applicant

Date

Signature of parent/guardian

Date

Please note that we cannot accept your booking without your signature and that of your parent.guardian if you are under 18 at the time of making this booking.

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Sheffield English Language School
PO Box 106417, Downtown, Auckland, New Zealand
Phone: +64 9 309 0052
Fax: +64 9 309 6002
Email : [email protected] �i��{��Ή��j

Cessation of enrolment

The Director of Studies will withdraw a student's enrolment from the course if the student is absent without contact for at least two consecutive weeks and will notify the appropriate authorities.

Refunds

Refunds, which are issued by the authorized independent trustee of the school, will be returned to the person who sent the money to Sheffield English Language School unless agreed otherwise. All discussions concerning conditions of enrolment and cancellation are subject to New Zealand Law.

Cancellation made in writing at least 14 days before course commencement will result in full refund of fees.

No refund is normally made in the case of withdrawal more than 7 days after the course commencement date.
If a student withdraws within seven days of course commencement he or she is entitled to a refund of any fees, including registration fee and agents fees, paid less 10% or $500.00, whichever is the lesser amount paid in NZ dollars at the current exchange rate.