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Registration form

Surname *

First name *

Email *

Telephone *

Date of birth *

Nationality *

Adresse in Lausanne or vicinity

Street and No.

Town and postal No.

Course required

Course required * Select ... Morning (20 hours per week) - evaluation test Morning (20 hours per week) A1 Morning (20 hours per week) A2 Morning (20 hours per week) B1 Morning (20 hours per week) B2 Evening (4 lessons per week) - evaluation test Evening (4 hours per week) A1.1 Evening (4 hours per week) A1.2 Evening (4 hours per week) A2.1 Evening (4 hours per week) A2.2 Evening (4 hours per week) B1.1 Evening (4 hours per week) B1.2 Evening (4 hours per week) B2.1 Evening (4 hours per week) B2.2

Previous studies of french

Years *

at the rate of (hours per week) *

Stays in French speaking countries *

I am acquainted with the conditions of admittance, agree to them and enrol for the session

from *

to *

The fees due amount *

This amount will be paid * Select ... to the secretaria to postal cheque account n° 10-4781-2 to account : IBAN CH89 0024 3243 3889 2301 G

Please copy these letters in the box *

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Institut Richelieu Lausanne

Fondé en 1962

école de langue
et culture française

Quiz