LTC College - Online Application Form


		Online Application

Online Application Form

Personal Details:
Title:
*First name:
*Surname:
Gender:	Male Female
Marital Status:
*Date of Birth:	(yyyy)
*Nationality:
*Email:
*Address:
*Country of residence:
Tel - Evening:
Tel - Day:
Status in UK:
Sponsor details:

Passport
Passport Details
Passport No:
Valid Till :	(dd/mm/yy)

Course Details
Code:
Course Title:
Fee:
Duration:
Study mode:
Where did you find us?:

Accomodation
Do you want to book your accomodation ? Yes no
Duration:
Start Date:	(dd/mm/yy)
End date:	(dd/mm/yy)
Type of accomodation:
Location:
Arrangement fees:	£150

Payment
Cash Cheque/Bank Draft Credit/Debit Card Bank Transfer
Credit Card Type:
Credit Card No:
Expiry Date:	/ (mm/yyyy)
Card Security/ID number	(last 3 digits)
House No	(as registered with your card)
Postcode	(as registered with your card)
Name as on card

Payment Details

Bank Transfer Details:

Cheque /Draft payable to “ LTC College London ” drawn in GBP.
Credit / Debit Card payment
Please note: If you are paying by credit card you have to pay an additional 3% surcharge above all the prices advertised.
If you are paying by switch, debit or solo card there is no surcharge.
The Registration fee for any course is £25/- (Non Refundable)

Click here for Terms and Conditions

I have read, understood & agreed to the Terms and Conditions set by LTC College London as being legally binding on my part.