Registration for language courses

Agency information

Agency name

Agency number

Contact person of the agency

Title

Mrs. Mr.

First Name

Last Name

E-mail-address

Customer information

First Name (as in the passport)

Last Name (as in the passport)

Date of birth (DDMMYYYY)

E-mail address of the student

Street / Number

Postal code

City

Country/Region

Communication language

German English French Italian Spanish

The customer would like to book the following course

Intensive Courses

For more information see www.goethe.de/Germany

Intensive German Berlin (33 days/160 units of instruction)

Intensive German Freiburg (32 days/160 units of instruction)

Intensive German (16 days/80 units of instruction)

Intensive German (9 days/45 units of instruction)

Superintensive German (10 days/80 units of instruction)

Intensive German + Practice (20 days/80 units of instruction + 20 hours in the practice group)

Intensivein German + Culture (10 days/50 units of instruction)

Other Courses

For more information see www.goethe.de/Germany

Heidelberg summer course

German 50 Plus

German in the evening

Course dates

from

until

Favoured course location

Alternative course location

In addition to the course the customer books the following accommodation

Guesthouse Shared flat Apartment Single room Twin-beded room Smoker (Please note that the accommodations generally have a strict non-smoking policy.) Non-smoker Breakfast (only available in Schwäbisch Hall) Lunch (only available in Schwäbisch Hall)

Hereby, the agency confirms that customers have read and accepted the Privacy Policy of the Goethe-Institut. The agency ensures that its customers are informed and advised in a suitable manner about the agreed service catalog and the contractually agreed terms and conditions.

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Privacy Policy

Registration portal

Agency information

Contact person of the agency

Customer information

The customer would like to book the following course