- CEILA - Registration

French language training courses in Avignon in the Provence

REGISTRATION FORM (please fill in this form)

Name, surname		Sex
Post address (street - code - city - country)
Nationality
Date of birth		Profession
Phone		Passport or Identity card nr.
Family status	Married Single
Degree or diploma
PROGRAM NUMBER
Dates from	to
Level of knowledge of French
A message ?

Thanks !

Transfer payment :
Payment either from your own country (Cheque in € , transfer. No credit card) or in Avignon on your first week here.

Bank information :
« Jardin Des Cultures d'Europe »
BANQUE : Chaix Avignon Carnot
CODE BANQUE : 10178
AGENCE : 00001
N° DE COMPTE : 0000020794X
CLE RIB : 89

If you wish some help to find accommodation, please fill in the accommodation form.