Practical French Language Module – Enrolment

Practical French Language Module – Enrolment Form
20 to 30 August, 2013
Family Name:
First Name:
Current postal address:
Street:
N°:
Zip code:
City:
State:
Country:
Telephone:
Mobile phone:
(Country Code/Area Code/number)
E-mail address:
@
(Country Code/Area Code/number)
I certify that I am a student enrolled on the 2013/2014 programme at ESC Rennes School of Business and
confirm my enrolment in the Practical French Language Module – 20 to 30 August, 2013.
I understand that the tuition fees (not including accommodation and living costs) for this course are:
Early bird rate (before or on 31 May, 2013): 420€
After 31 May, 2013: 470€
The fees in Euros must be paid before 21 June, 2013 by:
Cheque payable in Euros to ESC Rennes School of Business
☐ enclosed
-
Bank transfer in Euros to the bank account hereunder
☐
proof of payment enclosed
Bank details:
BNP Paribas
18 Quai Duguay Trouin - 35000 Rennes – France
Bank Code: 30004 / Desk Code: 02483 / Account number: 00010745715 Key 86
IBAN: FR76 3000 4024 8300 0107 4571 586 - Code SWIFT: BNPAFRPPCRN
Payment Policy:
This form (duly filled out, dated and signed) and proof of payment must be sent back to ESC Rennes School
of Business before 21 June, 2013.
ESC Rennes cannot be held responsible for transaction fees, foreign exchange losses and any additional
charges, the cost of which must be borne by the candidate.
Cancellations/Reimbursement Policy:
Only cancellations will be reimbursed in full upon written document before 10 July, 2013.
If the student does not get his/her visa for reasons out of his/her control (written proof required), ESC
Rennes will reimburse the tuition fee paid for the Practical French Language Module provided a written
document has been sent before 10 July, 2013.
For any cancellations after 10 July, 2013, for whatever reason, the fees are due and will not be refunded.
ESC Rennes School of Business reserves the right to cancel the Practical French Language Module should
there not be enough students registered. This decision will be taken at the end of June/beginning of July,
2013. In that case, students will be informed accordingly.
Please complete this page and the placement form on page 2 and return with your payment to ESC Rennes School of Business
on 21 June, 2013 at the latest, to:
Amparo REIG MARTINEZ – International Relations Department
ESC Rennes School of Business
2, rue Robert d’Arbrissel - 35065 Rennes Cedex – France
Email : [email protected]
I agree with the conditions above:
Date: Cliquez ici pour entrer une date.
ESC RENNES SCHOOL OF BUSINESS
2, RUE ROBERT D’ARBRISSEL – CS 76522
35065 RENNES CEDEX – FRANCE
www.esc-rennes.fr
Signature:
Tél : +33 (0)2 99 54 63 63
Fax : +33 (0)2 99 33 08 24
Email : [email protected]
SIRET 378 327 514 00014 – Code APE 8542 Z – Organisme de formation 53 35 02943 35
1
Practical French Language Module – Enrolment Form
20 to 30 August, 2013
Student:
Family Name:
First Name:
Nationality:
Mother tongue:
Home University:
Country:
Placement:
Please answer the following questions in order for us to place you in the right group:
-
Do you speak a little bit of French?
☐ Yes
☐ No
Have you studied French at school?
☐ Yes
☐ No
If so, for how many years?
For non-beginners, click on the link below in order to sit a short placement test in French:
http://www.lang.ox.ac.uk/courses/tst_placement_french.html
Please tick the level corresponding to your test result:
Complete beginner
☐
False beginner
☐
Lower intermediate
☐
Intermediate
☐
Upper intermediate
☐
Advanced
☐
Final Deadline: 21 June, 2013.
ESC RENNES SCHOOL OF BUSINESS
2, RUE ROBERT D’ARBRISSEL – CS 76522
35065 RENNES CEDEX – FRANCE
www.esc-rennes.fr
Tél : +33 (0)2 99 54 63 63
Fax : +33 (0)2 99 33 08 24
Email : [email protected]
SIRET 378 327 514 00014 – Code APE 8542 Z – Organisme de formation 53 35 02943 35
2