2022 Diploma Course Application Form

Diploma Course Application Form

1. PERSONAL INFORMATION
Full Name*

PrefixFirst NameMiddle NameLast Name
What is your Gender?*

MaleFemaleOther
Age*
Date of Birth*

DayMonthYear
Date
What is your nationality?*
Passport No. or Identification No.*
(Attach a copy of pages of your passport showing your photograph and passport number)
Attach passport copy*

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2. CONTACT DETAILS
Address in home country (or current UK address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number*
Phone Number (Home)*
E-mail*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
How did you hear about us?*
3. COURSE DETAILS
Course Name*
Level 3 Diploma in Business Course Start Date*

September 2022April 2023September 2023April 2024
IELTS Course Start Date (optional)

DayMonthYear
Date
4. REASON FOR APPLYING FOR COURSE
Please state reason for applying for English course*
5. PREVIOUS LEARNING EXPERIENCE
Please list details of your previous studies*
Attach certificates for previous studies (if applicable)

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6. LEARNING DISABILITY
Do you have a learning disability? If Yes, you will be required to fill out a disability equality form. A member of staff will be in touch and send you a form.*

YesNo
7. ACCOMMODATION / AIRPORT TRANSPORT
GLC does not provide accommodation. However, please let us know if you would need help in finding accommodation.*

YesNo
GLC does not provide airport transport service. However, please let us know if you require this service and we can help you find airport transportation.*

YesNo
8. PAYMENT DETAILS
Please send your Bank Transfer to:
HSBC Bank 196 Oxford Street, London W1D INT, UK
Global London College
Bank Sort Code: 40-05-16
Bank Account Number: 62213516
Account Name: Global London College
SWIFT/BIC Code: MIDLGB2107E
IBAN Code: GB19MIDL40051662213516
9. DECLARATION
I,*

First NameLast Name
1. hereby declare that all the information given is true and complete
2. authorise Global London College to obtain further official records if necessary from any educational institution attended by me.
3. agree to the Global London College Terms and conditions as detailed on the website and above.
Student Signature*

Clear
Date*

DayMonthYear
Date
NOTE: a Registration Fee of £50 is payable by a student registering with the college for the first time.
Please verify that you are human*
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