FRENCH AS A FOREIGN LANGUAGE
Enrolment form
Last Name
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First Name
Address
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City/Zip Code
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Country
Phone
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 Cell Phone ..................................................................
Gender
M
Date of Birth
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Place of Birth
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E-mail
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Nationality
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Mother Tongue
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F
Prior Knowledge of French Oral
Written
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Intermediate
Elementary
Beginner
Intermediate
Elementary
Beginner
Contact Person in Switzerland
Parents /
Last Name
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Address
……………………………………………………………………………………………………………………..
City/ZipCode
………………………………………………………………………………………………………………… .....
Phone
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Date of Birth
..................................................................................................................................... …………………
I wish to enrol for the following term
please circle
First Name
Spouse
..................................................................
 Cell Phone ..................................................................
August – December
January – March
April – June
23/08/17 – 20/12/17
CHF 3,042.-
08/01/18 – 29/03/18
CHF 2,253.-
16/04/18 – 22/06/18
CHF 2,055.50
The DELF – Diplôme d’Etudes en Langues Française – is the official French-language diploma for non-native speakers of
French. Based on written and oral communication, it is awarded by France’s Ministry of National Education. There are four
independent diplomas: A1, A2, B1 and B2. The Lycée Jean-Piaget is an accredited centre of DELF exams.
The Lycée Jean-Piaget offers a special discount for all early registrations for DELF examinations taken during or after the
course.
Yes, I would like to register
No, I am not interested
Level of examination chosen
A2 (CHF 170.-)
B1 (CHF 200.-)
B2 (CHF 270.-)
The level of examination may still be modified according to the level reached before the examination
Important information and general conditions
 Your registration obligates you to pay the course fees. Your registration will only be validated upon receipt of payment. We cannot
guarantee you a place in our courses if this is not done within the deadlines.
 Registrations will be processed in the order received. Space is limited.
 In case of cancellation prior to the start of the course, the Lycée Jean-Piaget reserves the right to charge a CHF 100.- cancellation fee.
 No refunds will be given once the course has started. The full amount will be due.
 Irregular course attendance may result in the student’s expulsion without refund.
 Please note that the Lycée Jean-Piaget does not provide its students with health and accident insurance. In accordance with Swiss
law, students must be insured individually against such risks. Consequently, concluding health and accident insurance is the student’s
(or their legal guardian’s) responsibility.
Place and date
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Student’s signature
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Parent’s or legal
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Guardian’s signature
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for students under 18
LYCÉE JEAN-PIAGET
ÉCOLE SUPERIEURE DE COMMERCE RUE DES BEAUX-ARTS 30 CASE POSTALE 1
TÉL. +41 32 717 89 00 [email protected] WWW.LYCEEJEANPIAGET.CH
CH-2002 NEUCHÀTEL