Student Request Booking Form - Malvern House Brighton

Name*

First Last

Gender

Date of Birth*

Nationality Country*

What is your first language?*

Please upload a copy of your passport if you need a visa letter.*

Address*

City*

Email Address*

Mobile Number*

Are you using a Booking Agent?*

Yes
No

Agent Name*

Emergency Contact Person (Relative/Friend)

Name

Relationship to You

Phone Number

Email Address

General English

General English

Exam Preparation

IELTS Exam Preparation
Cambridge Exam Preparation

English Plus

Business English
English for Conversation
English for British Culture
VIP English

Course start date:*

Number of Weeks*

Please enter a number from 1 to 44.

Preferred Time:*

Hours per week:*

Do you want Accommodation?*

Yes
No

Accommodation Type*

Homestay
Residence

Homestay Type*

Homestay Option*

Residence Type*

Accommodation start date*

Number of Weeks (Accommodation)*

Please enter a number from 1 to 44.

Do you have any Allergies?*

Yes
No

Please Specify*

Do you have any Disabilities?*

Yes
No

Please Specify*

Do you want to book a transfer?

If you are travelling to the UK for your course, please complete your travel details below.

Airline:*

Flight number:*

Arrival date:*

Arrival airport:*

Arrival Time*

Arrival Time (minutes)*

Departure date:*

Departure airport:*

Departure Time*

Departure Time (minutes)*

Express Mail

Express mail (there will be a charge of £55 for most countries)

*

I confirm that I have read a copy of the Terms and Conditions. I agree to abide by these Malvern House Rules. *

*Terms & Conditions are available HERE

We process personal information to enable us to: provide education, training and educational support services such as accommodation and travel to our clients. It is also necessary for us to ensure the Safeguarding of our students and maintain student welfare. In addition, this information is required for us to administer our school's property, maintain our own accounts and records and to support and manage our employees. Data is held, used and ultimately destroyed in strict accordance with The General Data Protection Regulation (GDPR) (EU) 2016/679. The full data protection policy can be found HERE