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"Diving off the island of Gozo.
Global Village Malta is a great school by the sea!"
       
 





     
  Registration Form

To register fill in the form below. We will confirm your registration by email.
Before registering read Terms & Conditions 2010


Personal Details  
Gender:
Family Name: First Name:
Date of Birth: //    
Nationality: Language Spoken:
Passport No: Passport Expiry Date:
Email:    
Address: City:
Country: Postcode:
Mobile / Tel: Fax:
Emergency Contact  
Name: Relation:
Contact Tel:

Courses      
Choose your course:    
Course Start Date: //    
Number of weeks:    
2nd Course:    
Number of weeks:    
Approximate English Level:    

Accommodation      
Arrival Date: // Departure Date: //
Please choose type of accommodation:
Homestay: single room twin room triple room
Homestay: (optional) private bath/shower supplement
School Residence: single room, shared apt Studio / 1-bedroom
  shared room, shared apt 2-bedroom
Mediterranea Apartments: studio 1-bedroom 2 -bedroom
Soreda Apartments: studio 1-bedroom 2-bedroom
Gillieru Harbour Hotel: single room twin room  
Crown Hotel: single room twin room  
Dolmen Hotel: single room shared room  
No Accommodation    
Type:    
Do you smoke? Yes No  
Special requirements:

Airport Transfers      
Transfer required Arrival Transfer required Departure
Arrival Date (dd/mm/yy) // Departure Date (dd/mm/yy) //
Arrival time Departure time
Flight Number Arrival Flight Number Departure
Coming from Going to
       
How did you hear about us?
 
       
By sending registration you are agreeing to Global Village English Centre
Terms & Conditions.