REQUEST FOR STUDENTS' RESIDENCE
COURSE

Personal information:

Name and surname:

Address:
Zip code:
City / State:
Passport: Telephone: Fax:
E-mail:








Studies in which you will register:

TYPE: SPECIFICATION:
LEVEL :

Period:


Comments:


(*) Complete period is from 15th of setembre to the end of the course.

To formalize the booking it is necessary to do a bank transfer as the amount corresponding to a monthly payment to the account number: 0075 6949 77 0600034496 during the next week.