Academic year course registration

FAMILY NAME*

First name*

Nationality*

Occupation

Telephone*

Email*

Please confirm your email address*

Address*

Postcode*

City*

Country*

Birth date (dd/mm/yyyy)*

Sex*
Male | Female | Neutral

City of birth*

Country of birth*

Level of French

Accomodation

I do not need accommodation
Single room
Single room near the lake
Furnished studio with all amenities
Room with a host family (B & B)
Room with a host family (half board)

Term ?

Programs

Special needs

Payment

A deposit of 200 € has to be paid. If you request accommodation, the deposit is 450 €. The 50€ application fees of your deposit will not be refundable.
Bank details are given in the general conditions of the courses.
I pay my deposit by :

Credit Card
Transfer
Check drawn on a French bank

The data collected on this form is strictly necessary and is used exclusively to register you on the courses for which you are applying.
This information is stored in our system until the end of your course session (refer to course session dates) to ensure continuity of the service.
It will not be used in commercial communications or for advertising purposes.
In compliance with the law, you can exercise your right to access the data we hold about you and have any corrections made by contacting us: info@cilfa.fr

I understand and accept the collection of data requested on this form.

I have read and agree to the terms and conditions.

I promise to pay the balance on the first day of classes and to send a passport photo (jpeg format) before my arrival.