PORTUGUESE INTENSIVE LANGUAGE COURSE – PILC
APPLICATION FORM
FULL NAME | NOME COMPLETO:
NATIONALITY | NACIONALIDADE:
ADDRESS | MORADA:
POSTAL CODE | CÓDIGO POSTAL:
MOBILE PHONE | TELEMÓVEL:
E-MAIL:
@
AGE | IDADE:
HOME UNIVERSITY | UNIVERSIDADE DE ORIGEM:
DEGREE CURRENTLY TAKING | CURSO UNIVERSITÁRIO EM FREQUÊNCIA:
TUITION FEE | PROPINA:
I commit myself to pay the tuition fee of 250 Euros, as soon as I arrive in Lisbon.
(Place|Local),
(Day|Dia),
(Month|Mês),
(Year|Ano)
______________________________________________
(Signature |Assinatura)
Attachments to be sent:
- Copy of Identity Card or Passport;
- This form and the above mentioned attachment must be sent by e-mail to the Language School ([email protected])