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German placement test -> Online, , DSH/TestDaF placement test
I heard about Kästner Kolleg from the following person/institution/media:
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Male Female
Name:
First name:
Address:
Postal code, City:
Country:
Telephone Number (with country and area codes):
Fax (with country and area codes):
E-Mail:
Nationality:
Date of Birth (DD.MM.YYYY):
Place of Birth:
I would like / could correspond in the following language/s:
I must apply for a Visa:
I would like to book health insurance Info + Book directly with our partner "Care Concept"
from: to:
"Standard Intensive 25" (25 x 45 min. per week)
"Summer Intensive 25" (25 x 45 min. per week, nur Saison A)
"Star 25+5" ("Standard Intensive 25" + 5 x 45 min. private unterricht p. W.)
"Summer Intensive 30" (30 x 45 min. per week)
"TestDaF/DSH course"
"TestDaF/DSH training"
"Integration course 25"
"Part Time 15"
"Intensive course Long Term" (16, 24, 36 or 48 weeks)
"After Work x1" (2 oder 3 x 45 min. an einem Abend pro Woche)
"JuniorCamp" (11-15 years old, 12.-31. July)
"AH private lessons"
Beginner without knowledge of German (A1) >Start dates see infobox above Elementary with prewious knowledge of German (A2) Low Intermediate (B1) Intermediate (B2) Fortgeschritten (C1+ )
I have learned from the following text books:
I would like to pass the following language exam (ZD, TestDaF, DSH):
Comments:
I would like to book the following accommodation:
from: to: (in case different from booked course dates)
Single room Double room*
Shared Student Apartment Private Apartment Host family (incl. breakfast) Half-board** Full-board*** Hotel, B&B (including breakfast)
Do you have Allergies, special needs or requests?
Accommodation is booked for 1 night before the course start (day of arrival) and 1 night after the course end (day of departure). Longer or shorter bookings are always possible; please just ask.
Date (DD-MM-YYYY):
Time (for example: 9:30 pm):
Place (Train Station and Train Number, Airport and Flight Number, Tram Stop, etc.):
I would like to pay for my course and accommodation fees upon invoice by credit card*.
*for credit card payments we have to charge you a 25 EUR extra fee.
Please send my invoice: by post by fax by E-Mail (PDF)
Invoice Address (in case different from participant address):
Surname, First name:
Postal Code, City:
Fax Nr. (with country and area codes):
All data is protected by the Data Protection Act. It will be handled confidentially by KKe.V. and not saved!
Surname, First Name of Card Owner:
Telephone Number
Credit Card Number:
CVC-Code: (the CVC Code is made up of the last three digits in the signature field on the back of the credit card)
Expiry Date:
I have read and accepted the terms and conditions on this form.