GERMAN-MALTESE CIRCLE

 

MALTESE LANGUAGE COURSE PART 2
Enrolment Form

PRINT FORM - FILL IN and SIGN  
ENCLOSE CHEQUE and MAIL
Cheques payable "German-Maltese Circle"
Mail to: German-Maltese Circle, Messina Palace, 141, Triq San Kristofru, Valletta

 Part 1 - Course details  Part 2 - Course details


   


Lessons every Wednesday at 6.00p.m.
First lesson: Wednesday, 13th February 2008
15 lessons of 2 hours each
 

Course Fee:        € 105,00
Membership fee: € 11,65
 
Title:                 Surname:    
First Name:      Sex:   Male Female
Address:
Town:   Post Code: 
Profession/Occupation: 
Identity Card Number:    Date of Birth: 
Email Address: 
Nationality:           Mobile: 
Telephone:  (Home)    (Office)  
Remarks:

Have you ever been a member of the German-Maltese Circle? Yes No

The German-Maltese Circle (GMC) hereby gives notice that the personal data provided and any other information supplied after the date hereof to the GMC, its employees, associates and collaborators will be recorded and processed as may be necessary by the said persons for the purpose of achieving the objectives of GMC.  GMC hereby informs of the right of the data subject/parent/legal guardian to rectify or to erase personal data in this respect upon notification in writing and subject to the GMC's obligations under Maltese Law.

 ____________________________                               
 Signature of applicant                                                  

________________________________________________
Signature of parent or guardian if applicant is under 18 years of age 
   

For Office use:   Date:       Course Receipt No.:

Membership Receipt No.:        Membership No.: