British Council online course application form for courses starting on 4 February 2013

Name and surname Name of school / institution Postal address (for certificate purposes) Telephone Mobile phone E-mail address How did you learn about our courses? #ourse name Primary Essentials Name of the online course you are applyin for (please tic! or write here)" earning !echnologies in the Classroom !"! Essentials # $o%ule 1 !"! Essentials # $o%ule 2&3 C ' Essentials C'(E ! Proficient C'(E ! )%*ance% Please pay to the followin ban! account" %omerci'alna (an!a )ccount no+ 300000001,3,-.4 Payment details /n%er the purpose of the payment 0123 45 6784595: please inclu%e+ Name of the online pro ramme Please send your completed application form to ether with confirmation of ban! payment at elt)britishcouncil*or *m!" $e istration deadline" +, -anuary +./, 0 confirm that 0 ha1e access to a P# and ood computer s!ills* &ate and si nature" $e ular price (M%&) 3000 3000 3000 3000 3000 3000 3000

Routes to excellence

British 4 February 2013

;e reser*e the right to cancel a course if the course %oes not reach the minimum number of 1, participants< Fees cannot be transferre% to another course< =o refun%s >ill be ma%e to participants >ho ha*e >ith%ra>n from the course or atten%e% any part of the course< !he course certificate is issue% to participants upon successful completion of assignments an% cannot be Council online course application form for courses starting on obtaine% >ithout acti*e participation

&ata protection !he British Council >ill use the information that you are pro*i%ing for the a%ministration of your course< ;e may >ant to use your information to sen% you %etails of British Council acti*ities? ser*ices an% e*ents 0inclu%ing social e*ents: >hich you might fin% of interest< 'f you %o not >ant us to contact you in this >ay? please tic@ this box< ' %o not >ant to be sent %etails of British Council acti*ities? ser*ices an% e*ents< (igne%+ AAAAAAAAAAAAAAAAAAAAAAAAAAAA< AAA Bate+ AAAAAAAAAAAAAAA

Cour personal information >ill be use% in line >ith British Council stan%ar%s< !he British Council >ill treat all personal information in accor%ance >ith /" la> an% its o>n pri*acy policy< !he British Council >ill not sell or %isclose your %etails to thir% parties for commercial reasons< /n%er the /" Bata Protection la> you ha*e the right to as@ for a copy of the information >e hol% on you? for >hich >e may charge a fee? an% the right to as@ us to correct any inaccuracies in that information< 'f you >ant more information about this please contact your local British Council office or the Bata Protection !eam %ataprotectionDbritishcouncil<org< Er *isit our >ebsite http+FF>>><britishcouncil<orgFhomeG%ataGprotection<htm

Routes to excellence