Student Registration Form


Agent Student Registration Form

Personal Details



When are you coming to the UK?

*If you are resident please ignore


Medical and Allergy Information



Emergency Contact 1

Please provide at least one.



Emergency Contact 2


Accommodation

Course

Passport Details and Upload



Declaration


Please Agree and Sign (After you sign in the box press the save button)
During the course of studies, photographs, video, and other digital images may be taken of the students for academic and / or marketing purposes, including on college/school website. We consent that photographic material can be used for course publicity and marketing purposes. I to assign to the school any promotional rights and intellectual property rights for these images. We agree that the school may retain and use images for up to five years from the date of when the image is taken.

I for United World School of English to seek medical treatment where necessary.
I to United Worlds Terms and Conditions .
I to allow United World Contact me with offers and other information.
Student Signature
Agent Student Registration Form