Personal Details

Name*

First Last

Nationality*

Date of Birth*

Address In your country of residence*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Title*

Mr.
Ms.
Mx.

Age*

Please enter a number from 0 to 100.

Profession*

Email*

Enter Email Confirm Email

Mobile Number*

Passport

Number*

Expiry Date*

Place of Issue*

Student Card Photo

Photos must be taken within the last six (6) months. The photos must be taken against a plain white or light-coloured background. Head must be directly facing the camera with full face in view. The photos must be clear, sharp and in focus. Either black and white or colour photos are acceptable.

Student Card Photo Upload

Accepted file types: jpg, png, jpeg, Max. file size: 4 MB.

Letter of Acceptance

The letter could be used for academic, professional or visa application purposes and will be issued against a fee of €50 and upon full payment.

Do you require a letter of acceptance?*

Kindly inform us with the reason for the letter*

Academic
Professional
Visa application

How Did You Find Out About Us?

Please Specify

Agency / Agents Name

Newsletter

Would You Like to receive promotional material and subscribe to our Newsletter?*

Yes
No

Booking Details

Kindly provide us with your tentative or actual arrival and departure dates. Flight details could be communicated later.

Arrival Date*

Arrival - Flight Number

If you don't know your flight details for now, you can leave this out.

Time

:

From

Departure Date*

Departure - Flight Number

If you don't know your flight details for now, you can leave this out.

Departure Time

:

If you don't know your flight details for now, you can leave this out.

To

Tuition

I would like to apply for the following course*

Weeks

Total number of One to One tuition hours

Total number of specialised One to One hours

Accommodation

Choose type of Accommodation*

Nights*

Please enter a number greater than or equal to 0.

In a*

Single Room with Shared Bathroom
Single Room with Private Bathroom
Twin Room with Shared Bathroom
Twin Room with Private Bathroom
Single Room in Apartment with Shared Bathroom
Twin Room in Apartment with Shared Bathroom
Studio Apartment

Hotel Kappara Room*

Standard
Balcony

Hotel Kappara additional services

Guest Breakfast
Self-Catering Room

In a*

Single Room
Sharing Room

On*

Bed and Breakfast
Half Board
Full Board

Choose your board basis which is offered by the host family (required)

Please tick if you have any of the below preferences

Family with no pets
No smoking family

Any food allergies or dietary requirements (Please Specify)

Accommodation address in Malta IF NOT BOOKED THROUGH MULS

If you do not wish to book accommodation with Malta University Language School (MULS) kindly provide us with the address of where you will be staying in order to issue an obligatory student card.

Transfers

Choose if you would like optional airport transfer

Choose a airport transfer*

One way transfer
Two way transfer
NO TRANSFER NEEDED

Leisure Package

Choose a leisure package

Winter Leisure Package
Summer Leisure Package

The Winter package is available from November to May and the Summer package is available from May to October. For more information kindly visit the following page - https://www.universitylanguageschool.com/leisure/

Health Conditions

Do you suffer from any medical, physical or psychological condition that may affect your stay, or the stay of co-students, at Malta University Language School?*

Yes
No

Please Specify

Any additional comments

Comments

Terms and Conditions

Please carefully read the Terms and Conditions.

I confirm that I have read and accept the terms & conditions

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Date

Phone

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Quote / Application Form

Personal Details

Passport

Student Card Photo

Letter of Acceptance

How Did You Find Out About Us?

Newsletter

Booking Details

Tuition

Accommodation

Transfers

Leisure Package

Health Conditions

Any additional comments

Terms and Conditions

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