Please fill the information

Type of registration

Registration for adults
Registration for juniors
Registration for Telc
Registration for Group tour
Registration for Full Immersion

Examination data
Type of examination
Style of examination	Oral and written Written Oral
Examination date	Ex: 22/02/1994
Would you like to book the 2 weeks Exam Preparation Course?	No Yes
Country of birth
City of birth
I have read and accept the general terms and conditions
Group tour details
City:
Free activities
Number of group members	Do not include the leaders
Number of group leaders
From	Ex: 22/02/1994
Until	Ex: 22/02/1994
Full Immersion Program Details
City:
Lessons per week
Free activities
From	Ex: 22/02/1994
Until	Ex: 22/02/1994
Unaccompanied minor service	No Yes
Personal
	Male Female
Name	Write in Latin, as in your Passport.
Surname	Write in Latin, as in your Passport.
Date of birth
Need visa?	No Yes
Nationality
Passport number
Native language
Other languages
Level of German
Home Address
Street/Number
Zip Code/City:
Country
Phone	Phone - Only numbers with country code. Ex: 551198765432
Phone emergency	Phone - Only numbers with country code. Ex: 551198765432
Email
Address in Germany
Street/Number
Zip Code/City:
Phone	Phone - Only numbers with country code. Ex: 551198765432
Email
Program
Program
Lessons per week
From	Ex: 22/02/1994
Until	Ex: 22/02/1994
Accommodation
With Accommodation?	No Yes
Accommodation type	Host family Apartment standard College residence Student residence Junior residence Hotel Youth Hotel
Accommodation room	Single room Double room Triple and quadruple room
Accommodation board	No Board Half board Full board Breakfast only
Remarks to accommodation booking
Accommodation
With Accommodation?	No Yes
Accommodation type	Host Family (Single room with full board) Summer or Winter Residence with full board
Remarks to accommodation booking
Accommodation
With Accommodation?	No Yes
Accommodation type	Host family Junior residence Student residence Youth Hotel
Accommodation room	Double room 3-4 bedded room
Accommodation board	No Board Half board Full board Breakfast only
Remarks to accommodation booking (including accommodation for leaders)
Academic services


Aditional services
Delivery of documents?	No By regular mail By express-mail (DHL)
Do you want to book a medical, accident, third part liability isurance?	No Yes
Transfer on arrival No Yes	Date of arrival Ex: 22/02/1994 Airport of arrival
Transfer on departure No Yes	Date of departure Ex: 22/02/1994 Airport of departure
Remarks and extra wishes
General remarks to the booking
General terms and conditions
I have read and accept the general terms and conditions

Please fill the information

Type of registration

Examination data

Group tour details

Full Immersion Program Details

Personal

Home Address

Address in Germany

Program

Accommodation

Accommodation

Accommodation

Academic services

Aditional services

Remarks and extra wishes

General terms and conditions