ELI |

PERSONAL INFORMATION

Name

Surname

Sex

Passport Number

Passport Country

Language

Address

Mobile Number

Main Agent

Sub Agents

Nationality

Date of birth

Country

Town or City

COURSE BOOKING

School

Course

From Date

To Date

Weeks

ACCOMMODATION BOOKING

Type

Weeks

From Date

To Date

ELI Schools will do our best to find the best host family for you. Do you have any preferences?

Do you smoke?

Do you like pets?

Do you like children?

Anything else?

Do you have a medical condition now or previously we should be informed of? Do you have a special diet?

Name of condition

Medication taken

Special diet

TRAVEL DETAILS

Arrival date

Arrival time

Flight number

Airlines

Departure date

Departure time

Do you require an airport transfer? Obligatory for students aged 17 and under travelling without an adult.

Airport Transfer Booking

SELLER NOTES

FILES:

BOOKING AGREEMENT

I have read, understand and accept all application and payment terms and conditions outlined above and the ELI Schools brochure and/orwebsiteandagreetobeboundtherein. Agreementforallparent/guardiansorlegalrepresentativesofstudentsaged under 18.
I am the parent orlegal guardian of the above (minor) applicant. I have read, understand and accept all application and payment terms and conditions outlined above and the ELI Schools brochure and agree to be bound therein.

Signature