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Email address
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Name and Surname
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Age
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Nationality
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Location
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Corby
Daventry
Kettering
Leicester
Northampton
Rugby
Wellingborough
Postcode starts with B77
Postcode starts with CV
Postcode starts with DE
Postcode starts with LE
Postcode starts with NG
Postcode starts with NN
Postcode starts with PE
Postcode starts with WS
Greater London
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Time Preference (Choose all that are applicable to you)
Monday 6pm-9pm
Tuesday 6pm-9pm
Wednesday 6pm-9pm
Thursday 6pm-9pm
Friday 6pm-9pm
Saturday 9:30am-3:30pm
Sunday 9:30am-3:30pm
Your level of English
Entry 1
Entry 2
Entry 3
Level 1/2
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Phone Number
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Confirmation - I confirm these details are true and accurate and I allow Private English Class to process this data in order to assess my suitability for the English course. I understand that submitting this form does not guarantee the place on the course. The school reserves the right to change the timetable of the courses.
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