Name *

Surname*

Sex
MaleFemale

Knowledge of Italian language

NOTHINGA1A2B1B2C1C2

Your mail *

Nationality

Birth date (gg/mm/aaaa)

Birth place

Address

City

Zip code

State

Phone Number

Mobile phone

Occupation

Identification Document

Document Number

Name of the course you wish to follow

Starting dates for Absolute Beginners:
(Courses start every Monday for the other levels)
23 January06 February20 February06 March20 March03 April17 April08 May22 May05 June19 June03 July17 July07 August21 August04 September18 September02 October16 October06 November20 November04 December

Starting date

Choose the accomodation:

Student ApartmentFamilyHotelCamping

Number of weeks

Account of Euro 155,00
by bank transfer to the following Bank details of Tiberius International:

c/c n. 601470
addressed to Tiberius International
BANCA POPOLARE DELL’EMILIA ROMAGNA
AGENZIA N.1
VIA CADUTI DI MARZABOTTO 47 - RIMINI – ITALY
IBAN IT98P0538724202000000601470
SWIFT BPMOIT22
BIC BPMOIT22XXX

Special requests

Privacy: In accordance with Legislative Decree no. 196/2003 is that the information provided at Tiberius International, will be handled in writing and / or paper, magnetic, electronic or computer in full compliance with those regulations.

I have read and I agree the regulation of Tiberius International