BANGOR UNIVERSITY
ENGLISH FOR LAW COURSE 2008
APPLICATION FORM
I wish to take part in the English for Law Course at Bangor University.
Course Date: 4th August – 15th August 2008
Course Price: £465.00

My Family Name(s)…………………………………………………………………….
My First Name(s)……………………………………………………………………….
Male 
Female 
Date of Birth …………………………
My first language is ………………… My Nationality is ……………………………
My address is: ………………………………………………………………………….
………………………………………………………………………………………….
…………………………………………………………………………………………..
My e-mail address is (if available) ……………………………………………………..
Would all applicants please answer the following questions:
Where did you find out about our course? :.....................................................................
My level of English is: elementary  intermediate  advanced  (Please tick)
I have studied English for ……….. years.
Do you have any medical condition we should know about? ………………………….
Do you wish to book accommodation? Self-catering en-suite:
£ 86.80 per week
Bed & Breakfast en-suite: £123.55 per week
Accommodation will be available from the Saturday before your course begins until
9.30am on the Saturday after your course.
ROOMS MUST BE VACATED BY 9.30am on the SATURDAY
(FAILURE TO MOVE OUT ON TIME WILL CAUSE PROBLEMS FOR THE NEXT PERSON MOVING INTO THE ROOM)
Yes
 Self-catering in a University Hall of Residence: en suite
 Bed and Breakfast in a University Hall of Residence: en-suite
No

£100 Booking Fee is required. A place on the course will not be reserved
without the booking fee which will be deducted from your course fee.
Course Fee and Accommodation Fee should be paid before or on the FIRST DAY of
the course (Monday) in the ELCOS General Office. You can PAY for the course and
accommodation by bank draft, bank transfer or credit card payment.
BANK DRAFT
 Bank Draft should be made payable to: ELCOS, UWB
BANK TRANSFER
 Please quote Full Name for reference and make sure that the transfer indicates that the
payment is for ‘an ELCOS course’.
Account Name
Bangor University
ELCOS
Account Address
Barclays Bank Plc
273 High Street
Bangor
Gwynedd LL57 1RU
Account Sort Code
20-35-47
Account Number
80975907
Iban Number
GB09 BARC 20354780975907
Swift Code
BARC GB 2280975907
 Please make sure that you pay the Bank Transfer Charges when sending the payment.
 Email Income Officer : k.s.tame@bangor.ac.uk to confirm payment is being made
into University Account
CREDIT CARD PAYMENT
Type of Credit Card (please tick box)
Mastercard

Visa

Card Number
(Card Number - this is the long number across the centre of the card)
Issue
Date
/
Expiry
Date
/
Security code
(last 3 digits on
signature strip)
(Security Code – last 3 numbers on the back of the card)
DECLARATION
I authorise you, to charge my CREDIT CARD account for £ ___________ (pound sterling).
(write amount in BLOCK LETTERS) _________________________________________
I will advise you in writing immediately if the card becomes lost, stolen or if I wish to close
my card account or cancel the authority.
Signature of cardholder _______________________________ Date ______________
When you have completed and signed the form, please return it by post or email to:
ELCOS, Bangor University
Bangor, Gwynedd LL57 2DG United Kingdom
Telephone: (01248) 382153/382252 Fax: (01248) 383784
EMAIL Address: elcos@bangor.ac.uk
Booking Conditions
A deposit of £100 must be sent with the application. The deposit will only be refunded if cancellation is made at least
28 days before the start date of the course. In such a case the deposit, minus an administration charge of £50, will be
refunded. Once a student has arrived in Bangor to start the course, payment of the complete course fee must be made
on day one of the course and no refund can be given. Students who arrive late must pay the full cost of the course.
I apply for a place on this course and I agree to the booking conditions:
Signed: ...................................................................... Date: .............................................
Your booking will be confirmed by post.
Have you remembered to enclose your £100 booking fee?
We cannot reserve a place without the booking fee which will be deducted from your course fee.
Have you remembered to state the amount you wish to pay if paying by credit card and signed to authorise transaction.