Registration for German language course

1. Personal Data

2. Language Course

3. Accommodation

4. Payment

Title*
- Mr
- Mrs
- (blank)
First Name*
Last Name*
Street, House Number*
Postal Code, City*
Country*
Telephone (include prefix):*
E-Mail*

If you use a gmail or hotmail address, please also enter an alternative address and keep checking your spam folders when waiting for our reply. Thank you.
Alternative e-Mail
Nationality*
Date of Birth*
Place of Birth*
I can correspond in the following language(s)*
Visa required
- I have to apply for a visa
I need health insurance: Info + booking directly with our partner "Care Concept"

My German Course*
Course Start
Individual Course Start / Period
Number of Weeks / Lessons*
Please enter a value between 1 and 50.
My current language level is**
A0.0 = no knowledge. * If you are not sure or have no certificate (telc, Goethe, KK), complete our Online Placement Test.
If the language level A0.0 is selected, there is no individual course start possible.
My desired language level is*
I would like to take the following exam*
Comment

Payment Options
For the binding booking you need to pay a reservation deposit of € 200, which will be credited towards the total course fee. In exceptional cases (e.g. for visa applications) you need to pay 50% of the course and accommodation fee (please note our terms and conditions!). You have until the first day of the course to pay the remaining fees.
Method of Payment*
The deposit / payment for my course is made:
- by Invoice
- by Credit Card
- by PayPal
When paying by credit card we charge an extra fee of 30 EUR.
Payment by Invoice
Sending the Invoice*
Please send me my invoice:
- by post
- by E-Mail (PDF)
Billing address (if not the same as above):
Last Name, First Name
Street, House Number
Postal Code, City
Country
Fax Number (include prefix)
E-Mail
Payment by Credit Card
NOTE
All data is subject to the Data Privacy Act. It is handled strictly confidentially by Kästner Kolleg e.V. and not saved!
Last Name, First Name of the Account Holder*
Street, House Number*
Postal Code, City*
Telephone*
E-Mail*
Credit Card Number*
Authentication code (last three digits on the back of your card)*
Expiration Date
Month*
Please enter a value between 1 and 12.
Year*
Please enter a value between 2018 and 2026.
Terms and Conditions & Privacy Policy*
- I accept the terms and conditions as well as the data privacy policy of KK e.V.
Hearby you expressly acknowledge, our Terms & Conditions and our Privacy Policy.
By submitting this form I bindingly book the desired services.

Registration