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OFFICIAL WEB SITE
OF "ELC LTD" GROUP
OF COMPANIES
ELC: break the language
barrier.®
Application form for Russian/Ukrainian Studies in Kiev, Ukraine
Important! Please read our Terms & Conditions before you book any course.
Please fill out carefully and press "SUBMIT" button. Fields marked with red asterix (*) are required.
ELC guarantees confidentiality of all information received, including the personal and passport data.
ELC guarantees that the information will not be given to any other person.
You will be contacted ASAP after we received the filled out application form.
PERSONAL DATA:
Title * Mr. Mrs.
First name *
Last name *
Date of birth *
(month/day/year)
Citizenship *
Address *
Telephone *
Fax
e-mail *
(the copy of the application will also be sent to this address)
Occupation
Address work/university
Mother language *
Other languages you can speak
Passport no
Valid until
I need visa to enter Ukraine Yes No
I will apply for and pick up my visa at the Embassy/Consulate in
Language of study: Russian Ukrainian Both
Level of Russian/Ukrainian skills * Beginner Basic Intermediate Advanced
Comments to the level
Course: * Group Individual Intensive Summer Christmas
Start date *
Number of weeks
Hours per week
Additional information regarding the course (specialisation etc)
Preferred schedule (if individual) Morning hours Noon time
Evening lessons Doesn't matter (any)
Please specify the time
Preferred territory of studies ELC LTD client's territory
Address:
I also need an accommodation: Yes No
I need somebody to pick me up at airport\railway station Yes No
Additional information about airport\railway station transfer, time, dates etc.
Miscellaneous:
I have an insurance, which covers Ukraine. Insurance company
Before upload, please enter confirmation code at the bottom of the page first!
I attach a readable copy of my passport
Before upload, please enter confirmation code at the bottom of the page first!
I attach a photo of my own
I would also like to book cultural_programs
1. ID# date 4. ID# date
2. ID# date 5. ID# date
3. ID# date 6. ID# date
Any other information or comments:
* I have read, understood and agreed upon the conditions according to Terms & Conditions.
Confirmation code * (Please enter 5 digits that you see on the picture).

Visit ELC LTD web-site in Kiev, Moscow, Kharkiv, Dnepropetrovsk, Lviv.

 
Contact telephone: (+380 56) 785-7556

Our office and classes: 10 Brigadnaya str. office 18 (3rd floor), Dnepropetrovsk, Ukraine.
 
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