Enrolment Form

(General English Course)

1 Personal Information

2 Courses / Education

3 Visa / Emergency contacts

4 Accomodation / Additional info

Representation

Are you applying through an Agent or Educational Representative? Yes No

Agent’s/Educational Representative name

Agent’s/Educational Representative email address

Agent’s/Educational Representative address (including Country & post code)

Please tick the box to give consent for the agent to act on your behalf regarding your application for admission to British School of Marketing International and to confirm that you understand and agree to the following conditions:

The agent will be acting on my behalf and not on the behalf of BSMI and thus unable to contract on behalf of, or bind, BSMI.
The Agent will hold and process information solely for the purpose of my application to BSMI and all communications will be sent to my nominated Agent’s email address. Any notice to amend or cancel the Agent who is acting on my behalf must be communicated by me in writing to both the Agent and BSMI. A change of Agent form must be completed and returned to the college if I choose to change Agent.

I agree

Personal Information

First Name

Last Name

Gender

Date of Birth

Nationality

First Language

Personal mobile number

Personal email address

Passport/ID number

Expiry Date

Occupation

Permanent Postal Address

Home Address

Town

County

Postcode/Zipcode

Country

Type of Enrolment

Are you applying for Online course/s ? Yes No

Are you applying for One-To-One course/s ? Yes No

Course Details

Course Start Date

Course End Date

Current Level of English

Language Courses

General English Course

20 lessons per week

25 lessons per week

30 lessons per week

Qualifications

English Language Qualification

Please state the highest English Language Qualification that you have currently. Valid qualifications include GCSE English (grades A - C), IELTS or equivalent

Qualification/Name of test

Overall result:

Academic History

Please note, if you are applying for a professional qualification, you must complete this section. As part of our enrolment process, BSMI will review your qualification to see if you are eligible for the course.

State your highest education (e.g. high school, Batchelor degree in..., Master degree in...).

School attended

Started MM/YY

Finished MM/YY

Qualifications

Grade

Emergency Contact Details

First Emergency Contact

Name

Relationship

Telephone

Does this person speak English?

Second Emergency Contact

Name

Relationship

Telephone

Does this person speak English?

Airport Transfer

Do you require an airport transfer? Yes No

Airport

Flight Number

Flight Date

Arrival Time

Return details

Other Information

Medical Conditions

BSMI welcomes applications from disabled international students and we encourage you to declare your disability and your support needs as soon as possible. Telling us about your disability will not affect your selection as a student, but will enable us to work with you to assess your needs, plan your stay at the BSMI and inform you to what extent we can meet your requirements.

If you have a disability or medical condition that require any additional support please give details below:

NOTE: If any physical or psychological condition, including diabetes, epilepsy, asthma, allergies, anorexia or bulimia is not disclosed on this Enrolment Form, students will be asked to leave the College and no fees will be refunded.
Please complete the Disabilities Questionnaire Form

Convictions

You must inform us about any convictions you have that are not ‘protected’ as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013).

Do you have an unspent conviction? Yes No

How did you hear about BSMI?

Parental Permission

If you are under 18 years old, your parents/guardian must fill up and sign this Parental permission form . We will not process the application until the form has been read and signed.

Declaration

Please tell us why you would like to study this course.

Who is paying your course fees?

Enrolment Form

(General English Course)

Representation

Personal Information

Type of Enrolment

Course Details

Language Courses

Internship

Qualifications

English Language Qualification

Academic History

Visa Details

Sponsorship

Emergency Contact Details

First Emergency Contact

Second Emergency Contact

Accommodation Requirements

Student accommodation information

UK Home Address Details

Airport Transfer

Other Information

Medical Conditions

Convictions

How did you hear about BSMI?

Parental Permission

Declaration

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