Fachhochschule Osnabrück: Registration form (common)

personal data _________________________________________________________

family name^*:

first name^*:

gender^*:

gender^*:female
male

date of birth^*:

place of birth^*:

nationality^*:

address _________________________________________________________

c/o:

street, house no.^*:

postal code, city^*:

country^*:

phone:

mobile phone:

e-mail^*:

occupation^* _________________________________________________________

I'm a student

at the following university:

in the field of study:

I'm employed

as:

I'm neither a student nor employed

but:

working group _________________________________________________________

notice: Your choice is not binding, you may change your decision at the beginning of the course.

I choose the following working group:

I choose the following working group:society and culture (training in general German)
economy (training in economic German)
technology (training in technical German)

level of German proficiency _________________________________________________________

I learned German ...

at school

years:

at university

years:

at a language school

years:

I took the following exam:

I've been to Germany before

for:

accommodation _________________________________________________________

notice: FH Osnabrück will try to but cannot guarantee to consider your wishes.

I'd like to ...^*

I'd like to ...^*live in the International Guest House of the university
live in a flat shared with other students
arrange accommodation by myself

I accept accommodation in a double room in the International Guest House

I accept accommodation in a double room in the International Guest Houseyes
no

I'm a ...

I'm a ...non-smoker
smoker

payment method _________________________________________________________

notice: FH Osnabrück will confirm your registration. The payment is due within 10 days after receipt of this confirmation. Please choose the method of payment you prefer.

I'll pay by ...^*

I'll pay by ...^*cheque
postal money order
bank transfer

remarks _________________________________________________________

I'd like to remark the following:

general conditions _________________________________________________________

· The course fee amounts to 550.00 €. If you cancel your registration after June 30, the fee will be reimbursed apart from a registration fee of 100.00 €.

· Registrations are accepted in order of receipt. Therefore, early registration is recommended.

· Participants are not insured against illness, accidents etc. by FH Osnabrück. We strongly recommend to take out relevant insurances (health insurance, liability insurance, accident insurance).

send form _________________________________________________________

important! I've read the general conditions. By clicking the send button I declare my consent.

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18th International Summer Language School of Fachhochschule Osnabrück

registration form