Title :

First Name :

Surname :

Date of Birth :

Email :

Tel/Mobile:

Full Postal Address :

Postcode:

I understand and accept the Terms and Conditions of enrolment.  I confirm that the above details are correct.

Once this form has been completed we will contact you to finalise the enrolment process.

No refund will be given in the event of:

• self-cancellation after you have started your course.
• your being refused re-entry if you leave the UK during the course without a covering letter from Portsmouth Language College.
• a refusal by the British Authorities to give you a visa extension because you have not attended a minimum of 80% of the course for which you have been enrolled.
• your being asked to leave the country by the British Authorities.
• your being asked to leave the College because of gross misconduct (i.e. abusive behaviour) on your part.