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CRICOS Provider Code 02193C
Essential IELTS
Where is it held? The program is offered in the Brookman Building of the University of South Australias City East campus.
Application form
Please complete and fax to: 08 8302 1557 or send to CELUSA Student Services Centre, GPO Box 2471, Adelaide, SA 5001. Personal details Family name: _______________________________________ Given name/s: ______________________________________ Nationality: ________________________________________ Date of birth: _ _ / _ _ / 19 _ _ (dd/mm/yy) Sex: M F
When are the program start dates? 2013 program start dates: 22 January, 5 February, 12 March, 16 April, 14 May, 25 June, 16 July, 6 August, 10 September, 1 October, 12 November What does the program consist of? Each Essential IELTS program includes 12 hours of class time spread over four sessions and all held within the one week, each session must be attended to complete the Essential IELTS Program: Session One: Tuesday 6:00pm-9:00pm Session Two: Thursday 6:00pm-9:00pm Session Three: Saturday 9:00am-12:00pm Session Four: Saturday 1:00pm-4:00pm What is the cost? $180 including IELTS text book
Telephone: _________________Mobile: __________________ Email: _____________________________________________ Program start date _________________________________ Payment options
EFTPOS
For credit card payments please complete the section below: I/we authorise CELUSA to make the following transaction: Credit card:
Visa
MasterCard
Expiry date: _ _ / _ _ Amount to be charged $ ______________ Signature of cardholder: _______________________________ Date: _ _ / _ _ / _ _ (dd/mm/yy)