Enrolment form

























Personal details
Surname:
Name:
Sex: Male Female
Passport Nº
Date of birth:
Nationality:
Address:
P.C./ZIP:
Town:
Province/State:
Country:
Tel:
Fax:
E-mail:
Education
Studies:
Profession:
Mother tongue:
Other languages you speak:
Have you studied Spanish before? No Yes For how long?
Name and address of the institution where you study Spanish:
Other questions
Have you attended a DILE course before? No
Yes Which year?:
Have you been to Spain before? No
Yes For how long?
How did you hear about DILE?
Person to contact in case of emergency:
Name
Tel
Fax
E-mail
Course details
Knowledge of Spanish:
Type of course chosen:
Optional course: A1 A2 A3 A4 A5 A6
B1 B2 B3 B4 B5 B6 B7 B8
Name of course:
Nº of weeks:
Starting date and finishing date:
Accommodation details
Arrival date and departure date:
Accommodation:
Room: Single Shared
Meals: Full board Half board
Special conditions: Vegetarian
Any allergy or illness
No smokers No small children No pets
Transport details
Arrival date and time:
Place of arrival:
Flight details:
Do you require airport transfer?: No
Yes Where do you need to be met?
Questions and comments
I have read the general conditions and will abide by the regulations established by DILE for classes, activities and accommodation.
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www.dilecursos.com
DILE. Cursos Internacionales de Español.
Plaza del Oeste, 3
37007 Salamanca. Spain
Tel.: 0034 923 282 446
Fax: 0034 923 282 566