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

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Registration portal

Agency information

Contact person of the agency

Customer information

The customer would like to book the following course