BOOKING FORM 2022
ENGLISH PATH SCHOOL LOCATION
PERSONAL DETAILS (Please write down your personal details exactly as they appear on your passport/ID document)
Surname: Taalaibek Kyzy First and Second Name: Aiperi
Home Address:
Address in the UK:
Telephone: Mobile:
E-mail: Male/Female:
Date of Birth: Nationality(s)/Native Language:
Emergency Contact: Phone number:
E-mail address:
How did you hear about English Path?
✔ Google Forums/Blogs Recommendation Walk in Other
COURSE DETAILS
Course Name: Start Date: Number of Weeks:
GENERAL ENGLISH COURSE
PACKAGE TYPE
Add an 8-week Certificate Course (Dubai Only)
Please specify if booking more than 1 certificate:
CONFIRM YOUR CURRENT LEVEL OF ENGLISH
Beginner Elementary
Pre-Intermediate Intermediate
Upper-Intermediate ✔ Advanced
Proficiency Other (please specify):
You can take our online level test to check your level of English
[Link]
ACCOMMODATION
Do you require accommodation? Yes ✔ No
Name of accommodation: Room Type:
Duration of Stay (Weeks): Start Date: End Date:
Board Type:
Any Special Requirements? (Dietary, medical, disability access, pets)
VISA TYPE REQUIRED
✔ Student Visa Visitor Visa Visa on arrival
AIRPORT TRANSFER
Do you require an airport transfer? Yes ✔ No One way Return
Which Airport?: Arrival Date and Time:
Flight Number:
OVERSEAS TRAVEL AND MEDICAL INSURANCE (MALTA AND UK ONLY)
English Path offers medical and travel insurance free of charge for all international students on all courses.
Please tick this box if you would like to be enrolled [Link]
EMIRATES INTERNSHIP 6 Months 12 Months
EXAM
Would you like to include an exam with your booking?
IELTS Cambridge First Certificate Cambridge Advanced Certificate
DECLARATION AND SIGNATURE
I have read and agree with the English Path policies, which can be found on the English Path website
[Link] and accept the English Path terms and conditions.
Your personal data will only be used for the purposes of organising your course, in line with GDPR requirements.
Signature of Student (or guardian if under 18) Date:
English Path is the trading name of Language Path Education Limited, part of the GBS Group. Company number 1331262.
Head Office Address: 891 Greenford Road, Greenford, London, United Kingdom, UB6 0HE - Copyright 2021
Terms and conditions: [Link] | Payment: [Link]
info@[Link] [Link]