Family Name:

Title: Miss ☐ Mrs ☐ Mr ☐ Other

Other Name (s):

Date of birth: (dd/mm/yyyy)

Age:

Passport number:

Nationality:

Country of birth:

Home address of applicant:

Postcode:

Country:

Telephone:

Email address:

Do you have a disability / special needs?   Yes ☐  No ☐

If yes, please attach details. Such details will only be disclosed to those having legitimate need to see them.

Which one of these three disciplines would you like to learn more about?

Medical and Nutrition Sciences ☐

Language Culture and Communication ☐

The Scottish Economy ☐

Partner institutions  £1200 ☐

Fees include:

· Self-catered accommodation for 14 nights

· All tuition fees

· Excursions and social programme

· Airport pick-ups (conditions apply)

Other institutions £1400 ☐

A deposit of £400 is required to secure your place and receive a formal offer. Please indicate how you have paid and send evidence with your application.

Methods of deposit payment:

¨  CREDIT/DEBIT CARD Payment by credit card/paypal can be made through our on-line store using this link : https://www.store.abdn.ac.uk/ (Short Courses, Language Centre, Daytime)

¨  BANK TRANSFER   

§ Account Name :  University of Aberdeen

§ SORT CODE:  80-05-14

§ ADDRESS:   Bank of Scotland, Queens Cross Branch, 39, Albyn Place, Aberdeen AB10 1YN

§ ACCOUNT NUMBER:   00841624  

§ IBAN GB44BOFS80051400841624

§ Swift bic BOFSGB21353

Methods of balance payment:

¨  ON-LINE STORE (as above)

¨  BANK TRANSFER   Please add £20 to cover administration costs (£820 for partner institutions or £1020 other institutions)

¨  CHEQUE OR BANK DRAFT made payable to the University of Aberdeen

I understand that:

The deposit is non-refundable except where a student’s visa has been refused and a copy of the visa refusal letter has been submitted in evidence.

If I choose not to start the course for any reason, the deposit will be retained in full.

I have to pay my course fees in full either in advance or in the first week of the course.

I understand that the Language Centre takes no responsibility for students’ welfare outside class hours and does not in any way act as a guardian.

By submitting this application you are verifying that the information you have given is correct and that you accept our terms and conditions as outlined above.

Date:

Please email your completed application form and supporting documents (deposit evidence and passport)  to: lc-application-submission@abdn.ac.uk