PERSONAL INFORMATION
All information that is given to us by you is treated strictly confidential and is not communicated in any way without your written
consent.
NAME (Mr/Mrs/Ms) : ........................................................……….........
First Name
.................…..………...………….……………………
DATE OF BIRTH :(DD/MM/YY) ……......……………….……… NATIONALITY : ……………………………………………….………………………
ENROLMENT FORM 2008
OCCUPATION : ..............………………………………………………………………………………………………………………………………………
ADDRESS :................................................................................................................................................………….………………………………..
TELEPHONE :...............................................FAX :...................................................Email :.......................................………………………………
NAME OF YOUR COMPANY (if we should invoice your company):……………………………………………………………………………………..
ADDRESS : ............................................................................................................................................………….....………….……………………
TELEPHONE :...............................................FAX :....................................................Email :.................................………………….………………
COURSE *
FG 
FG+ 
FCCP 4/s 
FG + + Conférence 
FGDO 
FGAP 
FGCP 6/s 
FGCP 8/s 
FGG option a  option a 
FGE 
If CP  Please indicate the number of lessons : total
FGCP 10/s 
FT *
FGCP 15/s 
FP *
FEP 
FGDCP 
UEE 
FGDP 
CP 
FSI 
and per week
DATES : From .....……….………............. to .....…..................….……..... 2007..........., thus ………….………….……..weeks
*The course will be confirmed on the condition of availability and level. Evaluation test to be filled out for the courses FT and FP.
YOUR LEVEL
A0
A1
A2
B1
B2
C1
C2
True beginner
Elementary 1
Elementary 2
Intermediary 1
Intermediary 2
Advanced
Upper advanced
Auto evaluation grid (European Council Reference Grid) available at http://is-aix.com/evaluation_en.php
For how long have you studied French ? ..........................................………….....……………………………………………………………..
At present, are you still studying French ? Yes  : how many hours per week ? ………………………………….………….……………
No  : when did you last study French ? .......................……………………………….
Do you need French for:
professional reasons  and / or  personal reasons
Have you already studied at IS ?
Yes 
No 
If yes, when and what course ?.............................................……………………..
What is your mother tongue ?........................................ What other languages do you speak ?............................................................
How did you get to know about IS Aix-en-Provence ? : IS Web site  Other web site  : which one ? : …………..………..................
Catalogue / brochure  : which one ?…………………..……………Other source  :………...……………………….…………… …………
ACCOMMODATION
● Homestay half-board 
● Homestay breakfast only 
● Homestay room self catering 
● Hotel *** high standard 
● Hotel *** normal standard 
● Hotel ** 
● Hotel residence *** studio  two room 
● Hotel residence ** : studio 
● Private owned studio 
● Hotel residence *** high standard studio  two room 
● Student residence 1 * : studio  ● Student residence 2 * : studio 
● Private owned two room apartment 
Will you have a car or a motor bike during your stay in Aix ?
If yes, would you accept to stay outside the city center ?
● No accommodation 
Yes 
Yes 
No 
No 
__________________________________________________________________________________________________________
IS Aix-en-Provence - 9, Cours des Arts et Métiers - 13100 Aix-en-Provence - France
Tel : + 33 (0)4 42 93 47 90 - Fax : + 33 (0)4 42 26 31 80 - E-mail : info@is-aix.com - Web : www.is-aix.com
Association loi 1901 - SIRET 782688238 00032 APE 804 D - N° intercommunautaire de TVA : FR 82 782 688 238
HEALTH
Are you allergic ?
Yes 
No 
If yes, please precise against what ? ....................................................................…………….
Do you have a particular illness or handicap that we should take into consideration?
Yes 
No 
If yes, please precise …………………………………………………………………………………………………………………………………
Do you smoke ?
Yes 
No 
Would you accept to stay with a family that smokes
Yes 
No 
Person to reach in case of accident or illness : Mr/Mrs/Ms ......................……………..........………………………………………………….
Telephone :.........................................Fax :............................................Email :.................................………………………………………..
TRANSFER
Would you like us to book a taxi transfer for you at your arrival ? Yes 
If yes, please indicate the number of your flight / train:
No 
your exact arrival time:
the airport / the train station :
as well as a mobile phone number in order for us to get in touch with you in case of problem :
COMPLEMENTARY INFORMATION
Are you insured ? Yes 
No 
Name of your insurance company / registration number : ………………………………………..
……………………………………………………………………………………………………………….
We recommend our clients to insure themselves against civil liability, illness, accidents, loss of money, valuables or luggage, theft and
cancellation or interruption of the stay for personal or health reasons.
ENROLMENT CONDITIONS

Fill out and return this Enrolment Form booking@sioc.no or by fax : +47 53417866

As soon as the availability of the course / accommodation is confirmed, we ask you to pay 65 € enrolment fee + a deposit of 70 €
per week of course (not refundable) in order for your enrolment to be confirmed.

You will receive all details concerning your course / accommodation as well as the invoice by e-mail or letter.

The invoice should be paid minimum one month before the course starts. If the enrolment takes place less than 30 days before the
course starts, the total amount invoiced should be paid at the same time.
The cancellation fees are the following :

>=14 days before the course starts
the 65 € enrolment fees + deposit of 70 € per week of course (not refunded)
13-7 days before the course starts
30% of the course price and 50% of the first week of homestay
<= 6 days before the course starts
50% of course price and 80% of the first week of homestay
Non appearance on the first day
100% of the course price and the first week of homestay
Cancellation after the course starts
payment is due for all courses and homestay
For other types of accommodation than homestay, the fees are to be negotiated directly with the accommodation partners
I accept the conditions described above.
Date :
Signature (of the parents if minors aged less than 18):
IS agent: SIOC Study In anOther Country AS
www.sioc.no – info@sioc.no
__________________________________________________________________________________________________________
IS Aix-en-Provence - 9, Cours des Arts et Métiers - 13100 Aix-en-Provence - France
Tel : + 33 (0)4 42 93 47 90 - Fax : + 33 (0)4 42 26 31 80 - E-mail : info@is-aix.com - Web : www.is-aix.com
Association loi 1901 - SIRET 782688238 00032 APE 804 D - N° intercommunautaire de TVA : FR 82 782 688 238