Curso de Fotografia: - Italian Language Schools

Enrollment Form
First name:
Last name:
Date of birth:
/ /
Nationality:
Home Address:
Phone:
Fax.:
E-mail:
Possible address in Florence:
Telephone in Florence:
(Date / month / year)
Gender:
Female
Male
Knowledge of the Italian language:
None
Elementary
Average
Level of study:
Profession:
Enroll to the course:
Duration:
Start date:
/ /
(Date / month / year)
Good
Excellent
Accommodation requested:
Yes
No
Type of accommodation (This application must be requested with at least four weeks in advance once you send enrollment and the
receipt for the 180 euros deposit)
Single room (in a shared student apartment)
Shared room (in a shared student apartment)
*this applies in the case of two people enrolling together or depending on
the availability at the moment of enrollment.
Single Student Apartment
How do you know about the academy:
Remarks:
Date:
Signature:
Under italian law: "Ai sensi e per gli effetti dell'art.10 della legge n.675/1996 L'Accademia D'Arte AD'A si impegna ad utilizzare i dati
rilasciati solo per comunicazioni aziendali inerenti le richieste dell'utente. Il Responsabile del Trattamento dei dati personali di cui alla
legge n. 675/1996 è domiciliato presso la sede della Accademia D'Arte AD'A in Via Ghibellina, 84r 50122. Firenze Italia."
1
Accademia D’Arte AD’A
Tel. +39 055 2466442
.
.
Via Pandolfini, 46/r
.
50122
.
Fax. +39 055 240997
.
[email protected]
Follow us in Facebook: Accademia D’Arte Firenze
Firenze
.
Italia
.
www.accademiadarte.it
Enrollment Form
To enroll the courses:
1. Student must fill the enrolment form
2. Student must send a deposit of € 180* as partial payment for the course by one of the following
options:
 International money order
 International bank check
 Bank transfer, without charges for the beneficiary, in the name of:
Accademia d'Arte - AD'A conto no.4244
Banca Nazionale del Lavoro, Agenzia 4
Via Giuseppe Verdi, 18
50122. Firenze, Italia.
IBAN: IT22 X010 0502 9700 0000 0004 244
SWIFT BIC: BNLIITRR
* Foreign students from countries not belonging to the European Union, that
request an enrolment's certificate for more than three months - in order to
solicit the Embassy to get a Student Visa - will have to pay in advance a
deposit of 180 Euro per every month of the enrolment. For more information
about student's Visa you can check on http://www.esteri.it/visti/
3.- After that, the student must send by e-mail or fax the receipt of the payment. Fax number: 0039 055
2466442
The balance must be paid directly at the school the first day of school.
As soon as the application form and the fax with the receipt has been received, a written confirmation will be
sent to the enrolled student.
2
Accademia D’Arte AD’A
Tel. +39 055 2466442
.
.
Via Pandolfini, 46/r
.
50122
.
Fax. +39 055 240997
.
[email protected]
Follow us in Facebook: Accademia D’Arte Firenze
Firenze
.
Italia
.
www.accademiadarte.it