Enrolment form :

Gender Female Male
Last name *
First name *
Birthdate* 

Age

Address*
Postal code*
City*
Country

Nationality

Passport #
Phone # at home
Phone # at work
Mobilte phone #
Fax
E-mail*
Native language
Other languages you speak
Earlier language training/ language courses
Language level
Profession
Preferred contact method?*
Where do we send documents?*

FAMILY
Name
Phone #
Address

FOR STUDENTS UNDER 18/ NEXT OF KIN/EMERGENCY
Legal Guardian
Phone #
Mobile phone #
Address

IF EMPLOYER IS TO BE INVOICED:
Company
Department
Address
Postal code
City
Contact person
Phone #
Fax #
Email

ENROLMENT
The schools name?


Language course ?
Start date
End date
Exam prep. course?
Start date
End date

ACCOMODATION
Type accomodation
Arrival date
Dapart date
If you have any special needs for the accomodation, please let us know:
 

If you have flight info, please write them here:

Airport transfer
If you have flight info, please write them here:
Ankomstdato
Airport
Terminal
Arrives from
Flight #
Arrival time (hh:mm 24 hr)
Depart date

If you have other transportation needs, please fill in the box underneath:
How did you find / learn about SIOC AS?
Friends
Search?
Internet link:
Other:

I have read and accept the schools enrolment conditions

AUTORISERT SIGNATURE: (If you send this form by fax or post)

Place________________ Date____________ Signatuer_________________________

    
SIOC Study In anOther Country AS
Postadresse:
Pb 1850 Nordnes
Strandgaten 96, 2.etg
5817 Bergen, Norge/ Norway

Address : Strandgaten 96, 2 etg. Bergen, Norway(>> se kart)

Epost kontor: info@sioc.no
Bergen: Tel.  55 32 81 02 - Fax: 55 32 81 03
Stord:   Fax: 53 41 78 66 
Mobile: Birger Reinhardt Larsen   975 63 700 birger.larsen@sioc.no   Manager