Application Form for one-to-one lessons # Student Details Name(s): Surname: ID / Passport Number: Date of Birth (dd/mm/yy): E-mail: UK Phone: UK Address (if known): Nationality: Agent’s Name (if applicable): Do you have any medical conditions / disabilities that may affect your ability to study? How did you hear about Mayfair School of English? VISA requirements Your country contact details (NON EU Citizens only) Address: City: Postcode: Country: Student Visitor Visa (max 6 months) Emergency Contact Information (next of kin) Full Name: E-mail: NON EU students please state below what kind of UK visa you require for this course: Extended Student Visitor Visa (maxi 11 months) Other. Please specify: Phone: Address: City: Postcode: Courses Please describe your preferred course options. If not available you will be contacted with an alternative offer 103a Oxford Street, London, W1D 2HG Tel. +44 (0) 207 437 9941 | Fax +44 (0) 207 494 3611 www.mayfairschool.co.uk | [email protected] Mayfair School of English Ltd. One to One Terms and Conditions 1. 2. 3. Students must be 17 years of age or older to study at the school or book accommodation through the school. Please make sure you have adequate health and travel insurance before you come to the United Kingdom. If you cancel your course due to a visa refusal: a. The school will refund any course fees paid when our original visa letter is returned to us in addition to the original letter from the Embassy or Consulate stating that your visa application has been refused. b. The school will not refund course deposits, administration fees or accommodation deposits. 4. If you cancel your course due to any other reason, the school will not refund any course fees paid. However, you can postpone the start of your course for up to one year from the start date. 5. If you wish to cancel your one to one lesson you must give 24 hours’ notice. If you give less than 24 hours’ notice you will still be charged the full fee for your lesson. 6. If your period of study includes a public holiday your one to one lessons will be rescheduled to make up for any hours lost. 7. Students must attend classes regularly and on time. Students will lose their course fees if they are frequently late, absent or leave before the end of their course. It is recommended that students purchase a course book to follow their course. 8. General Payments: a. Bookings for one to ones can only be scheduled once full payment has been received. We reserve the right to cancel any booking for which we have not received payment by the due date. b. Bookings are subject to a £45 registration fee. c. Course payment must be made in full before the start of the course or on the start date. Failure to pay the full amount will delay the start of your course. d. Mayfair School of English reserves the right to alter course fees. e. All lessons are subject to availability. f. Included in your course fees: Placement test, your lessons, use of school library and study facilities and internet facilities, end-ofcourse certificate and course report, social programme activities (except where otherwise stated). g. All students wishing to obtain a full end-of-course certificate must request this with at least 1 weeks’ notice; where less than 1 weeks’ notice is given before the end of the course a £5 administrative fee will be charged to cover the cost of processing/mailing the certificate to the student’s home address. Students are entitled to one end-of-course certificate per registration fee applicable to each programme. These certificates are issued subject to satisfactory attendance. 9. Sometimes Mayfair School of English Ltd. or our representatives take photographs and videos during our courses that may be used for promotional purposes. Please advise us at the time of booking if you do not wish to appear in any promotional material. 10. In order to fulfil our obligations to you and, in some cases, to the British authorities, it is necessary for us to see and copy your passport (and visa documentation if appropriate). We also require contact details for you in London (including a mobile phone number and email address if you have one), and details of your next of kin in your own country. You therefore agree to provide these and keep them up to date if they change. 11. At the end of each one to one lesson students are required to sign, which will be used to accurately record their attendance in lessons. *The term ‘student’ is used here and throughout these terms and conditions to refer to any individual who has paid to undertake a programme of study at Mayfair School of English Ltd. I have read and accept the terms and conditions. Signature: _____________________ Name: _____________________ Date: ___ /___/___ 103a Oxford Street, London, W1D 2HG Tel. +44 (0) 207 437 9941 | Fax +44 (0) 207 494 3611 www.mayfairschool.co.uk | [email protected] Part of the Mayfair Education Group Company Registration Number 5561696