LEARN ENGLISH
COURSEAPPLICATION FORM
Please complete your application form as a digital PDF and return it by email to sales@ihlondon.com
Please download the 2024 Dates & Fees sheet here: https://www.ihlondon.com/document/ih-london-learn-english-dates-fees-2024/

PERSONAL DETAILSFirst name (s):Nationality:

Family name:
Sex:

MaleFemale

Prefer not to say

BritishBrazilian
Botswanan
Bolivian
Bhutanese
Bermudian
Beninese
BelizeanBelgianBelarusian
Barbadian
Bangladeshi
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Cook
Costa
East
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Hong
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Chile
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Croatia
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East
EasterEcuador
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El
Equatorial
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Germany
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Korea
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Swaziland
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Email:

Mobile No.

Mobile number or email address to contact you in the time between yourarrival in London and the start of your course if different from above:
Passport details
Passport number:

Passport expiry date (DD/MM/YY)://

Passport country of issue:

BosniaBolivia
Belgium
BelarusBarbados
BangladeshBahrain
BahamasAzerbaijan
Austria
Australia
Armenia
Argentina
AngolaAndorraAlgeria
Albania
Afghanistan
Burkina
Bulgaria
Brunei
BrazilBotswana
BurmeseCape
CanadaCameroon
Cambodia
BurundiCaymanCosta
Congo
Colombia
China
Chile
Chad
Cuba
Croatia
CyprusCzech
Democratic
Dominican
Dominica
Djibouti
DenmarkEl
Egypt
Ecuador
Dubai
Equatorial
Faroe
Ethiopia
Estonia
Eritrea
Guinea,Guatemala
Guadeloupe
GrenadaGreenland
GreeceGhana
Germany
Georgia
GambiaGabon
FranceFinlandHong
Honduras
Ivory
Italy
IsraelIreland
Iraq
IranIndonesia
India
Iceland
Hungary
Myanmar
Mozambique
MoroccoMontenegro
Mongolia
MonacoMoldova
MexicoMauritius
Mauritania
Malta
Mali
Maldives
Malaysia
Malawi
MadeiraMadagascar
Macedonia
Macau
Luxembourg
Lithuania
Liechtenstein
Libya
LebanonLatviaLaos
Kyrgyzstan
KuwaitKosovoKorea
Kenya
Kazakhstan
JordanJerseyJapan
JamaicaNew
Netherlands
Nepal
Northern
None
Nigeria
Niger
Nicaragua
Republic
Qatar
Portugal
PolandPhilippines
Peru
Paraguay
PanamaPalestine
Palau
Pakistan
Oman
NorwayReunionSan
RwandaRussiaRomania
Saudi
SierraSerbiaSenegalSouth
Somalia
Slovenia
Slovakia
Singapore
Sri
Spain
St
Trinidad
TogoThailand
Tanzania
Tajikistan
TaiwanSyria
Switzerland
SwedenSwaziland
Sudan
Union
UkraineUgandaTurkmenistan
TurkeyTunisia
UnitedYugoslavia
Yemen
VietnamVenezuela
Uzbekistan
USA
Uruguay
Salvador
Kitts
Lanka
MarinoZealand
Coast
Verde
Kong
ArabiaAfricaRicaofIslands
Leone
Republic
Arab
Kingdom
and-FasoWest
Islandthe&Islands
Greek
Turkishof(Myanmar)
Ireland(Burma)TobagoGuineaRepublic
Nevis
Herzegovina
Seychelles
Republic
Emirates
Comoros
Africa of the Congo
Emergency contact details
First name:

Family name:

Telephone:
Relationship to you (Parent, relative etc.)

Email:English language level of nominated emergency contact :None

BasicIntermediate

Advanced

YOUR COURSE DETAILSHow did you hear about International House London?
(If you have been referred by an Educational Tour Operator (ETO) please provide their details)
Course 1 - Name:

Course 2 - Name:

Course duration in weeks:

Course duration in weeks:

GeneralFCE
CAE
CPE
Business
EnglishOET
IELTS
Cambridge
Preparation
Preparation
Test
Study
Experiencefor
EnglishEnglishBoostFinanceHR
Marketing& Test
Intensive
252015Preparation
2515
Intensive2015
Package
ampm30+Intensiveampmam
pm
Intensive(1 week)(1(B2-C1)(A2-B1)(B1-B2)week)(120week)(1 week)
Course start date.
I wish to start on (DD/MM/YY)://General
FCE
CAE
CPE
Business
EnglishOET
IELTS
Cambridge
Preparation
Preparation
Test
Study
ExperienceforEnglish
EnglishBoost
Finance
HR
Marketing& Test
Intensive
25
2015
Preparation
2515
Intensive2015
Packageampm
30+
Intensive
am
pm
am
pm
Intensive(1 week)(1(B2-C1)(A2-B1)(B1-B2)week)(120week)(1 week)
Course start date.
I wish to start on (DD/MM/YY)://

My level of English is: You can test your CEFR English level at testmylevel.com
A1 Beginner

A2 Elementary

B1 Intermediate

B2 Upper intermediate

C1 Advanced

Do you have any physical or mental health issues we need to know about, or any specific learning needs?

C2 Proficiency
Yes

If yes, please provide details
If your chosen course is not listed, please let us know which course you’d like to book:Course start date.
I wish to start on (DD/MM/YY)://

Course duration in weeks:

Additional 1:1 Lessons You can study extra 1:1 lessons as part of your course at IH London.
Total number of lessons:
I wish to study: Online

Face to face

Preferred start date* (DD/MM/YY):
1//*Your 1:1 lessons will be scheduled when completing your needs
analysis. You will receive this after booking your course.

visit ihlondon.com | call +44 (0)20 7611 2427 | email sales@ihlondon.com

NoSTUDENT VISAS FOR STUDYING IN THE UK
UK Immigration Requirements
All students may study with us for up to 6 months as a ‘Visitor’. If you are a Non-visa national you can enter as a Visitor
without a visa. If you are a ‘Visa National’ you must apply for the Visitor visa before you travel. If you want to study formore than 6 months you can apply for either a Short-Term Study Visa (For English Language Courses 6-11 months) or fora Student Visa. For advice on visa requirements please contact your local British Embassy or check the UK government
website gov.uk/check-uk-visa
If you are already in the UK, please visit the following website for advise on visa regulations:gov.uk/browse/visas-immigration/student-visas. You can also contact us at ihlondon.com/contact
Do you already have a visa for the UK?

YesNo(You may need to apply for a visa)

If you have a visa, what type of visa is it?
Visa expiry date (DD/MM/YY)://

TYPE OF VISA

Which type of visa do you plan to enter the UK with? Please select from either of the following
See ihlondon.com/useful-information/getting-a-visa/
Visitor Visa (max 6 months)

Student Route Visa

A visa for those studying for a maximum of 6 months.
Your nationality will dictate whether you need to applyfor this visa before entering the country, or atimmigration on entry to the UK. A Visitor Visa cannot be
be extended or renewed in the UK.
Short-term Study Visa (6 - 11 months)
A visa for those studying for a period of between 6 to11 months. You must apply for this visa before entering
the UK. The Short-term study visa (11 months) cannot beextended or renewed in the UK.

There is a minimum English language level to study ona General Student Visa - please check the UKVI website
for guidance. You also need to study a minimum of 15hours per week, which means you need to book a courseof 20 lessons a week or more.
Please note: Student visa applicants must complete aseparate International House London questionnaire andprovide International House London with a scan showing
documentary evidence of their English language level
and application documents to see if they are eligible.
Please consult the UKVI website for a list of the accepted
secure English language tests and documents required
for the application. The original certificate/transcript anddocuments have to be included in the GSV application.
Student Route Visa applicants will incur a £30 UKVI
processing fee.

STUDENT TRAVEL INSURANCE Student travel insurance is £11 per week
Do you require student travel insurance? YesNoFrom (DD/MM/YY)://to (DD/MM/YY)//(Insurance should be from the day you leave home to the day you return)
To find out more about our insurance policy please click this link: ihlondon.com/useful-information/insurance/
If you wish to purchase insurance it is important that you read the document accessed by clicking this link:
ihlondon.com/useful-information/insurance/
I have read and accepted the Declaration for Travel Eligibility Statements on the link above
I have read and agreed to the important conditions relating to health on the link above
I declare the answers given to questions asked in the application form are true and complete
to the best of my knowledge and belief. I confirm that my travel details have been provided
Lead name signature:
Date (DD/MM/YY):

Print name://Endsleigh Insurance Services Limited is authorized and regulated by the Financial Conduct Authority. This can be checked on the Financial Services Registerby visiting its website at www.fca.org.uk/register. Endsleigh Insurance Services Limited. Company No. 856706 registered in England at Shurdington Road,
Cheltenham Spa, Gloucestershire GL51 4UE

2visit ihlondon.com | call +44 (0)20 7611 2427 | email sales@ihlondon.com

ACCOMMODATION APPLICATION FORM
ACCOMMODATION OPTIONS(PRICES PER PERSON PER WEEK)No accommodation required
RESIDENCES
Chapter Kings Cross, single studio
Chapter Portobello, single studio
Old Street , single en-suite
Tufnell Park , single en-suiteYour chosen dates£597£478
£447
£394
£236
£277
£307
£200*
£230*
£266*
*per person

SUPERIOR HOMESTAY
Single room with breakfast
Single room with breakfast and 4 evening meals
Single room with breakfast and 7 evening meals
Twin room with breakfast**
Twin room with breakfast and 4 evening meals**
Twin room with breakfast and 7 evening meals**

£288
£330
£359
£241*
£283*
£318*
*per person

EXECUTIVE HOMESTAY WITH PRIVATE BATHROOMSingle room with breakfast£342
Single room with breakfast and 4 evening meals£383
Single room with breakfast and 7 evening meals£413Twin room with breakfast**£295*
Twin room with breakfast and 4 evening meals** £336*
Twin room with breakfast and 7 evening meals** £365**per person
Accommodation booking fee£59Supplements
U18 Homestay supplement

to Sunday (DD/MM/YY)//

More information about you

STANDARD HOMESTAY
Single room with breakfast
Single room with breakfast and 4 evening meals
Single room with breakfast and 7 evening meals
Twin room with breakfast**
Twin room with breakfast and 4 evening meals**
Twin room with breakfast and 7 evening meals**

I would like accommodation fromSunday (DD/MM/YY)//

Do you smoke?

Yes

All of our accommodation is non-smoking. You will only beable to smoke outside
Are you allergic to dogs or cats?

Yes

NoDo you have any special requirements? For example: diet,allergies. YesNo
If yes, please give details:
Airport transfers
We can arrange for you to be met at the airport and taken
by car to your accommodation. We require 48hrs notice
to arrange airport transfers. Return transfers can bearranged once you are at the school. Your transfer cannot beprocessed unless we have your flight information in full.
Please arrange an airport transfer

Yes

NoYour flight arrival information:
Date of arrival (DD/MM/YY)://

Flight No. (eg RG756):
Departing from:
Arrival airport and terminal:
Arrival time in London:Choose your arrival airport:
Prices are per person and one way only

£22

Summer supplements are chargeable for all stays between
16/06/24 - 25/08/24£51 per week for residential£51£37 per week for homestay£37**Twin or shared rooms can only be booked for students
traveling and studying together

Heathrow LHR£191
Stansted STNLondon City LCY£191
Luton LTN
Gatwick LGW£234
Shared transfer LHR, LCY (per person)

£234
£234
£108

Arrival rail transfer:
St Pancras, Eurostar £108
Please arrange a departure transfer(flight details can be confirmed at the school)

See our terms and conditions on our website ihlondon.com/Terms+and+Conditions
3

No

visit ihlondon.com | call +44 (0)20 7611 2427 | email sales@ihlondon.com

Yes

No

PAYMENT DETAILS
Select your payment method:

If your company is paying, please complete their details below:

Bank transfer

Company name:

Flywire (Online Payment Portal)

Company address:

Credit/Debit card
Please confirm who is responsible for payment:
Booking Agent

StudentSponsorCompany

Name of contact:

Email:All fees are payable at least 4 weeks in advance of the course start date.
An invoice or payment link will be sent to you on receipt of your completed
Telephone:application form. For UK and international bank transfers please find our bankdetails on your invoice, please note you must ensure International House London
receives the full fees as per invoice. International House London is not responsible
for any bank transfer fees issued by your chosen bank. International payments
can be made via Flywire: www.flywire.com. Credit or debit card payments can bemade via a secure payment link or over the phone. We will send you instructions
on how to pay via secure link after submitting your completed application form.

TERMS & CONDITIONS
By submitting this application form I understand that I am agreeing to the terms and conditions as detailed at
ihlondon.com/terms-and-conditions
I have read and agree to IH London’s terms and conditions

Signature:
Occasionally we will send information about IH London courses
and promotions that are relevant to you. If you do wish to receive
this information please tick here

4Date (DD/MM/YY)://

Occasionally we photograph or film activity at IH London for promotional
purposes. If you do not wish to be photographed or filmed
please tick here

visit ihlondon.com | call +44 (0)20 7611 2427 | email sales@ihlondon.com