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STUDENT DETAILS
Please check www.brookehousecollege.co.uk/summerschool/visa-requirements to see whether you need a visa if you are unsure.​​

AGENT OR REPRESENTATIVE DETAILS

(If you have been referred to us through an agent or representative, please provide us with full details).

FAMILY DETAILS (THIS WILL BE THE ADDRESS USED TO POST GESE OR IELTS CERTIFICATES)
 
 
 
HOME ADDRESS

COURSE DETAILS

Students should arrive and depart on a Sunday

IELTS PREPARATION – ADDITIONAL INFORMATION
REGISTERED FOR THE IELTS PREPARATION COURSE, PLEASE SELECT ‘YES’ OR ‘NO’ BELOW TO INDICATE WHETHER OR NOT YOU WISH TO BE ENTERED FOR THE EXAMINATION.​​​​​

ACCOMMODATION DETAILS

ENGLISH LANGUAGE LEVEL

OPTIONAL EXTRAS
DECLARATION & PRIVACY STATEMENT
PRIVACY STATEMENT
 
In line with the General Data Protection Regulation May 2018, Brooke House College has produced a Privacy Statement to inform you about what information we collect and how we protect and safeguard your personal data. Please read the Privacy Statement and Retention of Documentation Policy on our website http://www.brookehousecollege.co.uk/about/privacy.
 
By completing this application form and supplying the information within, you are agreeing for the college to process and store your personal data.

Please provide an email address where we can send a link to your current form.

Email Address :