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APPLICATION FORM
LONDON ACADEMY OF DRESSMAKING & DESIGN
18 Dobree Avenue, Willesden, London. NW10 2AE
www.londonacademy.com e-mail: info@londonacademy.com
Tel: (020) 8451 7174 Fax: (020) 8459 7927
PERSONAL

Full Name: (Miss/Mrs/Ms/Mr)

Address:

Telephone: Home Mobile

Email ID :

Date of Birth: Age

Nationality:

Passport No.

Qualifications: (if any)
 
COURSE

I wish to enrol for your Course

I wish to enrol for a correspondence course: YES NO

I wish to commence on (day) (month) (year)

My course will terminate (day) (month) (year)

I wish to attend: Morning Afternoon Evening classes

I wish to attend: Full Time: Part Time:

Where did you hear about the Academy:

Please find enclosed a Cheque/Postal Order/Cash for the amount of £
 
PLEASE READ CARFULLY BEFORE SIGNING

I UNDERSTAND THAT FEES ARE NEITHER REFUNDABLE NOR TRANSFERABLE. THE ACADEMY WILL NOT BE RESPONSIBLE FOR ANY LOSS OF TIME DUE TO A STUDENT TAKING A BREAK DURING HIS/HER COURSE UNLESS FOR MEDICAL REASONS OR WITH PRIOR PERMISSION FROM THE ACADEMY MANAGEMENT. THE ACADEMY RETAINS THE RIGHT TO REFUSE ENTRY.

Signature of Student

Date:

For Office Use only

Accepted: YES/NO

Date of Commencement:

Date of Course Termination:

Does the student require a visa: YES/NO other

Comments: 

Principal Designer Date

 
 
 
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