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Enrolment for a German Course

I hereby enrol for the following German course:


Course Type*  

Course Dates*  

If you have selected "Other dates" above, please specify them here:

from* :          
to* :          

My Level:


Where have you learnt German?

 
How long have you studied German and with which book (until lesson)?


 This approximately matches my level: *

  Grundstufen
  Mittelstufen      
  Oberstufe      
A1.1  (Absolute Beginners) B1 C1
A1.2  (Beginners with previous knowledges) B2  
A2    
 
I am interested in a Tandem language exchange:   Yes   No
 
I need a special certificate to apply for a Visa:   Yes   No
 
Do you wish to book our pick-up-service at your arrival? *   Yes   No
 
If yes, where and when exactly do you arrive?

 
Other comments:

 
I've heard of Tandem through:

 
I accept and agree with the enrolment terms and privacy policy. *   Yes, I do!

Customers have the right to withdraw from this contract within 14 days without giving any reason.
Here you will find further information and the model withdrawal form.


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Personal Information:


male   female

First name*


Family name*


Street / No.*


Postal code*


City*


Country


Telephone*


Fax


E-mail*


E-mail (repeat)*


Date of Birth*


Profession



I need accomodation* in a:
Wohngemeinschaft
The so-called "Wohngemeinschaft", you share a flat with one or more german people. Each person has a single room and shares a bathroom and kitchen, so everyone can cook for himself.

Family including breakfast

Family including half-board
You stay with a German family, either with or without children. You have a single room and share the living-room, kitchen and bathroom. Regarding meals, you should come to an understanding with the family.

Apartment

I don´t need accomodation

Do you smoke?   Yes No