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Fill out this application form if you are interested in studying with ILS and we will get back to you shortly.

	ILS Form
	* - required Agent's Reference (if applicable): *Gender: [Select One] Male Female *Title: [Select One] Mr Mrs Dr Other Other (please specify): *Family name: *First Names: *Date of Birth: Age: *Nationality: Religion: Home address: (chars left: 200) *Telephone: *Email: Occupation: *Do you have any disability or illness that the school should know about?: [Select One] Yes No If yes please specificy: Have you studied at ILS English before?: General and Intensive English: [Select One] General English 15 Intensive English 21 Intensive English 25 Academic Courses: [Select One] IELTS Cambridge Unistudy Business & Professional Courses: [Select One] Prof - Business English Prof - English for Finance and Banking Prof - English for Pres Meetings and Negotiations Prof - English for the Oil and Gas Industry Prof - Medical Prof - Technical English for Engineering Prof English - In-Company Tailor Made English Prof English - Combination Courses Summer Vacation Courses: [Select One] Robin Hood Summer Camp Robin Hood Summer School - Homestay Robin Hood Summer School - No Accom Robin Hood Summer School - Residential Summer General English *Course Start Date: *Course Finish Date: *No of weeks: *Would you like us to organise accommodation for you?: [Select One] Yes No If yes I would like: *Do you want ILS to organise your airport transfer?: [Select One] Yes No *Travel and Medical Insurance: [Select One] Yes No

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