Professional Documents
Culture Documents
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
oui
non
Yes
No
MEMBRE JUSQUA:
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
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
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.
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