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Application Form - Flexilearning Centre

You can download, complete and email this application back to us: info@flexilearningcentre.co.uk

Application Form

Terms and Conditions

Or complete the application form online:

Gender*

First name* (exactly as it appears on your passport)

Middle names (exactly as it appears on your passport)

Family name* (exactly as it appears on your passport)

Date of birth* (dd/mm/yyyy)

Nationality*

Address*

Post code*

Telephone number*

Email address*

Emergency contact

Name*

Relationship*

Emergency number*

Do you have any special needs or medical conditions?*

Comments
If yes please comment

Choose your course

Learn English

IELTS test

SELT Trinity exam

Consortia IELTS Test

Cambridge exam

Life in the UK test

ESOL exam

Number of hours

Number of weeks

Study times

Start date (dd/mm/yyyy)

Comments
Please let us know if you have any special requests of class timings, availability or course length

How did you hear about our course?*

* denotes a required field

By clicking 'Submit Application' you accept our Terms and Conditions

Contact

Flexilearning Centre
Olympic House
3rd Floor
28-42 Clements Road
Ilford
IG1 1BA

Telephone:             020 8478 4813
Mobile:                   07983 62 62 46
Viber / whatsApp:  07983 62 62 46
Skype:                   flexilearningcentre

Email: info@flexilearningcentre.co.uk

Accreditations

Copyright © Flexilearning Centre Ltd, 2008 - 2015. The Flexilearning Centre is a limited company registered in England & Wales, Reg No. 6512776.
No part of this website may be reproduced, distributed, performed, publicly displayed or made into a derivative work without the permission of the Flexilearning Centre.