REGISTRATION FORM Fortgeschrittene / Bleiber
Alexandria

Registration form for Fortgeschrittene / Bleiber

Personal details

Form of address

Ms.

Mr.

First Name

Please write your name exactly like in your passport as it appears in all documents and certificates.

Surname

Please write your name exactly like in your passport as it appears in all documents and certificates.

Date of Birth

Place of Birth

Nationality

Occupation

E-Mail

Please make sure that the provided email address is correct, since the registration office for language courses and exams will be contacting you through it.

Address

Phone

Mobile phone

Customer-ID/ Kundennummer

You will find your customer number on each previous registration invoice of Goethe-Institut

Last class you have visited at Goethe-Institut

(class level and class days)

the class you want to register to

(class level and class days)

Choose payment method

Data Privacy

I have read and accepted the Data Protection Rules and Consents.

Yes

Terms and Conditions

I have read and accepted the Terms and Conditions.

Yes

* required

When you send us the information contained in the contact form by clicking on the button below, you declare your consent for us to use your personal data for purposes of answering your enquiry and/or contacting you. You can revoke your consent by sending an e-mail message to Anmeldung-Alexandria@goethe.de. If you revoke your consent, your data will be erased immediately. Otherwise, your data will be erased after we have processed your enquiry or if the purpose of storing it no longer exists.

Privacy Policy

REGISTRATION FORM Fortgeschrittene / Bleiber Alexandria

Registration form for Fortgeschrittene / Bleiber

Personal details

REGISTRATION FORM Fortgeschrittene / Bleiber
Alexandria