FICHE DINSCRIPTION

Registration Form

NOM:

PRENOM:

ETAT CIVIL:

Surname

First Name

Civil Status

LIEU DE NAISSANCE:

SEXE:

Place of Birth

Sex

NATIONALITE:

PROFESSION:

AGE:

Nationality

Occupation

Age

DATE DE NAISSANCE:
Date of Birth

MM

ADRESSE:

Rsidence :

Address

Home

DD

YY

Tlphone:
N de Portable:

Email:

Mobile

PREMIERE INSCRIPTION A LALLIANCE FRANCAISE?

oui

non

First time to enroll at Alliance Franaise?

Yes

No

MEMBRE DE LALLIANCE FRANCAISE?

MEMBRE JUSQUA:

Member of Alliance Franaise?

Member Until

CLASSE SOUHAITEE:

1)

Preferred Schedule

2)

Semaine

Samedi

Dimanche

Weekdays

Saturday

Sunday

Matin

Aprs - midi

Soir

Morning

Afternoon

Evening

MW
TTH
M-TH

PARTIE RESERVEE A LADMINISTRATION/RESERVED FOR ADMINISTRATION

CLASSE

Session(s) de cours
1

PAIEMENT:
RECU #

3
2014

REGLEMENT:

Remarques:
5

Cash

Chque #

DATE: Figure 1
(SIGNATURE)

ALLIANCE FRANAISE OF MANILA, INC. P.O BOX 2899 MCPO, 1268 MAKATI, METRO MANILA, PHILIPPINES
209 Nicanor Garcia Street, Bel Air II, 1200 Makati, Metro Manila
Tel: 895 77 57/895 7441
Fax: 899 3654

TERMS & CONDITIONS

MODE OF PAYMENT
Full payment shall be made upon enrollment either in cash or personal check. Check payments should be made
payable to the order of Alliance Franaise of Manila, Inc.

GENERAL CLASS POLICIES

Alliance Franaise de Manille (AfM) reserves the right to cancel or dissolve a class if the number of students
fails to reach the required minimum number. In such an event, AfM encourages enrolled students to join another
class of the same level and availability. However, if a student cannot do so, AfM shall refund his/her full tuition fee.
In case of cancellation of a class, a make-up class shall be scheduled.
AfM reserves the right to change the assigned teacher during an ongoing session (if necessary).
Every enrolled student is required to obtain the official teaching materials used by AfM.

TRANSFER
Student shall be permitted to transfer to another schedule by submitting a written notice within the first two
weeks of the session. However, AfM cannot guarantee for the availability of slots. For any transfer, an
administration fee of three hundred pesos (P300.00) is automatically charged to the student. Transfers are subject
to conditions.

CREDIT NOTE
AfM shall grant a credit note to a student who has enrolled but wishes to defer or cancel his/her enrollment
subject to the following terms:
1. 100% if one submits a written notice ten (10) days prior to the start of the session;
2. 75% if one submits a written notice five (5) days prior to the start of the session;
3. 50% if one submits a written notice two (2) days prior to the start of the session;
4. 25% if one submits a written notice less than one (1) day before the start of the session and within the first two
weeks of the session.
5. No credit shall be issued after the second week of the session.
An administration fee of three hundred pesos (P300.00) is automatically deducted from the credit note. The full
amount of the credit note can be used only once as deferment payment within a six (6) month period.
Credit notes are neither transferable nor refundable and cannot be used to purchase books.

PRIVATE TUTORIAL
Packaged price for private tutorials must be used by the student within a three (3)-month period.

Signature of student over printed name

Date

ALLIANCE FRANAISE OF MANILA, INC. P.O BOX 2899 MCPO, 1268 MAKATI, METRO MANILA, PHILIPPINES
209 Nicanor Garcia Street, Bel Air II, 1200 Makati, Metro Manila
Tel: 895 77 57/895 7441
Fax: 899 3654