APPLICATION FORM
Beirut,
Name: …………………………………………………………………………………………... / Date of birth: ……………………………………………………………………….………First name: …………………………………………………………………………………. / Place of birth: ……………………………………………….……………………………
Nationality: ……………………………………………………………………………….… / Education level: …………………………………………………………..……………
Phone: …………………………………………………………..……………………………… / Mobile: ………………………………………………………..………………………………..
Email:
Address during the academical year: ……………………………………………………………………………………………………………………………………………………
Education
Last school(s)/college(s): …………………………………………………………………………………………………………………………………………………………………………………….
Previous studies: ………………………………………..……………………………………………………………………………………………………………………………………………………………
Languages: ……………………………………………………………………………….…………………………………………………………………………………………………………......
Contact details of parents or responsable
Mr & Mrs/Mr/Mrs: ……………………………………………………………………………………..……………………………………………………………………………………………………….…..
Name & First name of the father/mother: …………………………………………………………………………………………………………..……………………………………
Profession (relatives)working in Fashion or related jobs: ……………………………………………………………………………………………………………...
Address: ……………………………………………………………………………………………………………………………………………………………………………………………………………………….
Phone: ……………………………………………………………………………………………………………………………………………………………………………………………………………………………
Mobile: …………………………………………………………………………………………………………………………………………………………………………………………………………………………..
Email: ……………………………………………………………………………………………………………………………………………………………………………………………………………………………
Selected program during the academical year: ……………………………………......
Full program □ Fashion design & pattern drafting □ Fashion design □ Pattern drafting
Night course □ Fashion design & pattern drafting □ Fashion design □ Pattern drafting
Summer course □ Fashion design & pattern drafting □ Fashion design □ Pattern drafting
Methods of payment
□ 1 installment □ 2 installments In case of wire transfer, the student is responsible for the fees
I the undersigned ……………………………………………………… , student at ESMOD BEIRUT, declare agree with the enrolment conditions as well as the school regulations.
Beirut, …………………………….
Students’ signature proceeded by the handwritten note «read and approved»
Beirut, …………………………….
Parent’s signature proceeded by the handwritten notes «read and approved» and «agree to guarantee full responsibility»
Mrs Noha Massoud
Director
Signature of the responsible
And stamp
INSCRIPTION
Année scolaire,
Conditions d’inscription
Registration is subject to the payment of tuition fees
Upon registration the student is committed for the whole period of the academic year. Subsequently, the whole year is due, as soon as started: in case of withdrawal during the year, the payment of the remaining tuition due becomes immediately payable.
The stay of the student throughout the academic year is subject to the strict compliance with the payment terms as defined upon registration.
In case of payment via bank transfer, fees and tariff related to the transfer are to be paid by the student.
School regulation
The students are required to accept the utmost perseverance. The administration holds the right of dismissing any student without paying any indemnity, for lack of perseverance or seriousness in his work.
The Administration holds the right to reshuffle and modify the curriculum at any time within the framework of the pedagogic contract.
Quarterly transcripts are directly given to each student.
Scheduled teaching days and hours agreed upon at registration, cannot be changed or amended without a clear-cut approval of the Administration.
It is strictly forbidden to smoke, eat or drink in the class room.
ESMOD BEIRUT cannot be held responsible, whether legally or morally, in case of any accident occurring outside the school’s presence as in the case of activities held by the school.
The school’s Administration is not to be held responsible or accountable for any theft of pedagogic equipments (Dummies, Laptop, rulers, books etc…)
Documents required
ID Photocopy
2 photos
Diplomas received
BEIJING BEIRUT BERLIN BORDEAUX DAMASCUS DUBAI GENEVEISTANBUL JAKARTA LYON MOSCOU MUNICH OSAKA OSLO PARIS
RENNES ROUBAIX SAO PAULO SEOUL SOUSSE TOKYO TUNIS / WWW.ESMOD.COM
WWW.ESMODBEYROUTH.COM / Y.W.C.A
Roustom Basha Street,
Ain El Mreisseh, Beirut, Lebanon
B.P. 11-2041 / T/F (+961) 1 36 12 42
M (+961) 3 66 11 51
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