BCC - ONLINE ENROLMENT FORM GENERAL INFORMATION Title -Select-. Mr. Mrs. Miss First name(s) Family name / Surname Date of Birth Full Home Address Phone Number Email address Nationality ARGENTINA AUSTRALIA BAHAMAS BELGIUM BRAZIL CANADA CHINA COLOMBIA CUBA DOMINICAN REPUBLIC ECUADOR EL SALVADOR FRANCE GERMANY GUATEMALA HAITI HONDURAS INDIA IRELAND ISRAEL ITALY JAPAN KOREA MEXICO NETHERLANDS PHILIPPINES SPAIN SWEDEN SWITZERLAND TAIWAN VENEZUELA VIET NAM AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ARMENIA AUSTRIA AZERBAIJAN BAHRAIN BANGLADESH BARBADOS BELARUS BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CAPE VERDE ISLANDS CHAD CHILE CONGO COSTA RICA CROATIA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA EGYPT ERITREA ESTONIA ETHIOPIA FIJI FINLAND FRENCH POLYNESIA GABON GAMBIA GEORGIA GHANA GREECE GRENADA GUINEA GUYANA HUNGARY ICELAND INDONESIA IRAN IRAQ JAMAICA JORDAN KAZAKHSTAN KENYA KOREA KUWAIT LATVIA LEBANON LIBERIA LIBYA LITHUANIA LUXEMBOURG MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MAURITANIA MAURITIUS MONACO MONGOLIA MONTENEGRO MOROCCO MOZAMBIQUE NAMIBIA NEPAL NEW ZEALAND NICARAGUA NIGER NIGERIA NORWAY OMAN PAKISTAN PANAMA PAPUA NEW GUINEA PARAGUAY PERU POLAND PORTUGAL QATAR ROMANIA RWANDA SAUDI ARABIA SENEGAL SERBIA SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SRI LANKA SUDAN SURINAME SWAZILAND TAJIKISTAN THAILAND TOGO TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED STATES URUGUAY UZBEKISTAN VANUATU YEMEN ZAMBIA ID Card No. / Passport No. First Language Afrikaans Albanian Amharic Arabic Armenian Assamese Azerbaijani - Latin script Bangla (India) Basque Belarusian Bosnian - Latin script Bulgarian Catalan Chinese (Simplified) Chinese (Traditional) Croatian Czech Danish Dutch English (United States) English (United Kingdom) Estonian Filipino Finnish French (Canada) French (France) Galician Georgian German Greek Gujarati Hebrew Hindi Hungarian Icelandic Indonesian Irish Gaelic Italian Japanese Kannada Kazakh Khmer Konkani Korean Latvian Lithuanian Luxembourgish Macedonian (North Macedonia) Malay Malayalam Maltese Māori Marathi Nepali Norwegian (Bokmal) Norwegian (Nynorsk) Odia Persian (Farsi) Polish Portuguese Portuguese Brazilian Punjabi (India) Quechua (Peru) Romanian Russian Scottish Gaelic Serbian - Cyrillic script Serbian - Cyrillic script (Bosnia and Herzegovina) Serbian - Latin script Slovak Slovenian Spanish Spanish (Mexico) Swedish Tamil (India) Tatar Telugu Thai Turkish Ukrainian Urdu Uyghur Uzbek - Latin script Valencian Vietnamese Welsh VISA DETAILS VISA Requirement No VISA required VISA required Are you sponsored? Are you a sponsored student ? YES NO EMERGENCY CONTACT Please give details of one person that we can call in an emergency. name Relationship Phone Number * : Please upload your passport / ID file uplaod COURSE DETAILS Please select a course or courses you wish to study Select a course form the list Select a course General English IELTS Preparation Course General English Examination Courses Cambridge Business English general english General English 20 lessons (15 hours) Extended General English25 lessons (18.75 hours) Intensive General English 30 lessons (22.5 hours) Super Intensive General English40 lessons (30 hours) Individual Tuition (45 minutes lesson) Ielts english IELTS A (Intensive) 20 lessons (15 hours) IELTS B (Basic) 10 lessons (7.5 hours) IELTS B & General English (20) 30 lessons (22.5 hours) Examination courses Cambridge Exam Intensive option - A (20 lessons 15 hours) Cambridge Exam Standard option – B (10 lessons 7.5 hours) Cambridge Exam Course B & General English 20 (30 lessons 22.5 hours) Business Cambridge Business English - A (20 lessons 15 hours) Business English - B (10 lessons 7.5 hours) Business English B & General English 20 (30 lessons 22.5 hours) Course Start Date Number of weeks What is your level of English now? Please select your level Beginner Elementary Pre-Intermediate Intermediate Upper Intermediate Advanced Accommodation Requirement Do you want BCC to arrange a accommodation for you? Please Select Yes please No thanks accommodation Single room Twin room (available only for pre-booked pair) Executive room (Single room En-suite) AIRPORT TRANSFER Do you want BCC to arrange an airport transfer for you? Please select Yes Please No Thank you Select an airport Heathrow Gatwick Stansted Southampton Bournemouth Arrival Flight Arrival Date Arrival Time Send