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Last Name First Name Gender

Place of Birth Date of Birth [[ddmmyyyy]]

Nationality Home address

City Zip Code State Country

Phone Fax Email

Profession

Company Office Address

City Zip Code State Country

Telephone Fax

How did you hear of Cli Dante Alighieri? Please specify:

How long have you studied Italian?

Knowledge: none some medium good

I have chosen the following course:

IN2

IN3 (1+2)

IN3 (2+1)

IN4

IN5 (2+3)

IN5 (3+2)

IN6

during the following months:

January	February	March	April
May	June	July	August
September	October	November	December

Starting Date Year

Select your area of interest

Please reserve me the following type of lodging:

Family	Single room	Double room
Boarding	With breakfast	With half board
Apartment	Single room	Double room	Studio

Notes

General rules

1) The minimum duration of each group course is two weeks. 2) Classes are held from Monday to Friday. Saturdays are kept free for visits and outings. 3) Italian national holidays are respected. 4) Students are expected to start courses on the fixed dates. 5) There can be no refund for students who begin a course late or leave before the end. 6) The school reserves the right to cancel a course if less than 8 students are registered. 7) PAYMENT: a) Applications must reach the secretary/s office 30 days before the beginning of the course together with 15% of the fee plus the enrolment fee. b) The balance has to be paid before the beginning of the course. Payment may be made by International Postal Order or by cheque sent directly to the secretary/s office or by bank wire transfer. 8) CANCELLATIONS: Notification of cancellation must be given by registered letter or telegram. a) If the person cancels before the beginning of the course or courses 15% of the deposit plus enrolment fee shall be forfeited. b) If a person cancels after the beginning of a course or courses chosen, the entire sum shall be forfeited. 9) The school is not responsible for objects left on its premises.

I accept the rules I don't accept the rules

The form will be processed only if you choose to accept the rules.