I heard about Kästner Kolleg from the following person/institution/media:

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Personal Data

Male     Female

Name:

First name:

Address:

Postal code, City:

Country:

Telephone Number (with country and area codes):

Fax (with country and area codes):

E-Mail:

Nationality:

Date of Birth (DD.MM.YYYY):

Place of Birth:

I would like / could correspond in the following language/s:

I must apply for a Visa:

I would like to book health insurance
Info + Book directly with our partner "Care Concept"

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My German course

Course Dates*:

from:   to:

Number of weeks/lessons? Course Package:

"Standard Intensive 25" (only seasen B*, see below)

"Summer Intensive 25"

"Star 25+5" ("Standard Intensive 25"+5x45 min. private lessons p.w.)

"Summer Intensive 30"

"Sommer Special" (3-week-package)

"TestDaF/DSH course"

"TestDaF/DSH training"

"Integration course 25"

"Part Time Intensive course 15" (only seasen B*, see below)

"Intensive course Long Term" (8 - 48 weeks)

"After Work" (please write if one or two evenings per week)

"AH private lessons" (please write in the nr. of booked lessons)

"Online via skype" (please write in the nr. of booked lessons)

Language Knoweldge / LEVEL

Beginner without knowledge of German (A1) >Start dates see "Current German courses"
Elementary with prewious knowledge of German (A2)
Low Intermediate (B1)
Intermediate (B2)
Fortgeschritten (C1+ )

I have learned from the following text books:

I would like to pass the following language exam (ZD /(B1), B2, TestDaF/ DSH (C1):

Comments:

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My Accommodation in Dresden

I would like to book the following accommodation:

from: to: (in case different from booked course dates)

Single room Double room*

Shared Student Apartment
Private Apartment/Studio
Host family (incl. breakfast) Half-board** Full-board***
Hotel, B&B (including breakfast)

Do you have Allergies, special needs or requests?

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Transfers

on arrival

Date (DD-MM-YYYY):

Time (for example: 9:30 pm):

Place (Train Station and Train Number, Airport and Flight Number, Tram Stop, etc.):

on departure

Date (DD-MM-YYYY):

Time (for example: 9:30 pm):

Place (Train Station and Train Number, Airport and Flight Number, Tram Stop, etc.):

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Payment

Method of Payment:

I would like to pay for my course and accommodation fees upon invoice by credit card*.

*for credit card payments we have to charge you a 25 EUR extra fee.

Payment Upon Invoice:

Please send my invoice:
by post
by fax
by E-Mail (PDF)

Invoice Address (in case different from participant address):

Surname, First name:

Address:

Postal Code, City:

Country:

Fax Nr. (with country and area codes):

E-Mail:

Payment by Credit Card: ,

Surname, First Name of Card Owner:

Address:

Postal Code, City:

Telephone Number

E-Mail:

Credit Card Number:

CVC-Code:
(the CVC Code is made up of the last three digits in the signature field on the back of the credit card)

Expiry Date:

nach oben

Donate water!

Yes, I want to support >arche noVa e.V.< - a non-profit- and non-governmental organization from Dresden for people in need - with 5 EUR. The amount will be added to my booking fee.

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Booking

I have read and accepted the terms and conditions on this form.