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ANMELDUNG REGISTRATION

Malaysia to Germany Study Info Club (operated by EU Study Exchange) Füllen Sie das Formular mit schwarzem Stift aus und senden Sie es uns zurück. Please fill out the form in black and return the completed form to us via fax / email. Registration dateline: 1 April 2011 Full payment dateline: 8 April 2011

Persönliche Informationen (Personal information) Vollständiger Name Full Name Familienname Last name Anschrift (Malaysia) Address (Malaysia)

Telefon Telephone Handy Mobile phone Fax Fax E-Mail E-Mail Geburtstag (TT/MM/JJJJ) Date of birth (DD/MM/YYYY) Geburtsort, Geburtsland Place of birth, Country of birth Staatsangehörigkeit Nationality Beruf Occupation Reisepassnummer Passport number Ablaufdatum des Reisepasses Expiry date of passport

Kontaktperson für den Notfall Contact person during emergency Adresse der Kontaktperson für den Notfall Address of contact person Rufnummer der Kontaktperson für den Notfall Telephone no. of contact person Haben Sie eine Reiseversicherung? Do you have a travel insurance? Wenn ja, Name der Krankenkasse If yes, name of Insurance Company Haben Sie Vorkenntnisse? Do you have prior knowledge of German? Wenn ja, welche Sprachniveau? If yes, in which level?

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ANMELDUNG REGISTRATION Persönliche Informationen (Personal information) Ich möchte buchen (Bitte wählen und anstreichen): I would like to book a course (Please choose and mark): Sprachenakademie Aachen Intensiver Deutschkurs A1.1 vom 09. bis zum 20. Mai 2011 Umfang: 40 Unterrichtseinheiten (UE) à 45 Minuten (4 UE täglich montags - freitags; Gesamtdauer: 2 Wochen) EUR998,00 Sprachenakademie Aachen Intensive German language course A1.1 09 May 2011 – 20 May 2011 Course length: 40 Lesson units; 45 minutes per unit (4 lesson units daily from Mo – Fr; duration: 2 weeks) EUR998.00 Unterkunft Aachen (07 Mai 2011–25 Mai 2011) Gästehaus / Apartment (Mehrbettzimmer; männlich/weiblich getrennt) ohne Verpflegung Accommodation in Aachen (07 May 2011 – 25 May 2011) Guesthouse / Apartment (shared bedrooms; separated male/female ) without meals

Zugfahrt (Düsseldorf Flughafen nach Aachen Hbf und zurück) *Anmerkung: wenn einen alternativen Flughafen gewählt wird, ist die Zugfahrt daher zuschlagspflichtig. Inklusiv: - ein Hin- und Rückfahrt Tagesticket nach Köln - ein Eintrittsticket ins Aachener Dom - ein Eintrittsticket ins Kölner Dom Transport with train (Düsseldorf Airport to Aachen main train station and return) *Note: If an alternative airport is chosen, train transport surcharges will apply) Includes: - one return day ticket to Cologne - one entrance ticket to Aachen Cathedral - one entrance ticket to Cologne Cathedral

Sprachenakademie Aachen Intensiver Deutschkurs A1.1 + A1.2 vom 09. Mai bis zum 03. Juni 2011 Umfang: 80 Unterrichtseinheiten (UE) à 45 Minuten (4 UE täglich montags bis freitags; Gesamtdauer: 4 Wochen) EUR1498,00 Sprachenakademie Aachen Intensive German language course A1.1 + A1.2 09 May 2011 – 03 Jun 2011 Course length: 80 Lesson units; 45 minutes per unit (4 lesson units daily from Mo – Fr; duration: 4 weeks) EUR1498.00 Unterkunft Aachen (07 Mai 2011–08 Jun 2011)

Gästehaus / Apartment (Mehrbettzimmer; männlich/weiblich getrennt) ohne Verpflegung Accommodation in Aachen (07 May 2011 – 08 Jun 2011) Guesthouse / Apartment (shared bedrooms; separated male/female) without meals

Zugfahrt (Düsseldorf Flughafen nach Aachen Hbf und zurück) *Anmerkung: wenn einen alternativen Flughafen gewählt wird, ist die Zugfahrt daher zuschlagspflichtig. Inklusiv: - ein Hin- und Rückfahrt Tagesticket nach Köln - ein Eintrittsticket ins Aachener Dom - ein Eintrittsticket ins Kölner Dom Transport with train (Düsseldorf Airport to Aachen main train station and return) *Note: If an alternative airport is chosen, train transport surcharges will apply) Includes: - one return day ticket to Cologne - one entrance ticket to Aachen Cathedral - one entrance ticket to Cologne Cathedral

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ANMELDUNG REGISTRATION Persönliche Informationen (Personal information) Ich bin einverstanden, dass ich als Study-Trip Teilnehmer für Schäden aller Art, die ich verursache, selbst verantwortlich bin. Dafür zahle ich zu diesem Zweck zusätzlich eine Anzahlung EUR50,00 vor der Reise. (rückzahlbar nach der Reise) I agree, as a participant of the study-trip, am responsible of any damages of whatever nature that I cause. For this purpose I agree to pay an additional deposit of EUR50.00 before the trip (returnable after the trip). Bitte anstreichen: Please mark: Ich möchte eine Reiseversicherung für meine Reise als Ausländer in EU Ländern kaufen (von einer deutschen Versicherungsfirma versichert) I as a foreigner would like to purchase a travel insurance for my trip in EU countries (insured by a german insurance company) 20-Tage Trip (EUR25,00) 20-day Study Trip (EUR25.00)

34-Tage Trip (EUR39,00) 34-day Study Trip (EUR39.00)

Die mir ausgehändigten Teilnahmebedingungen erkenne ich als verbindlich an. I hereby acknowledge as binding the general terms and conditions provided to me. Zahlung Payment Gebühren (Flugticket nicht inklusiv) Fees (Flight ticket not included) Anzahlung (rückzahlbar) Deposit (refundable) Zwischensumme Subtotal Versicherung (auf Wunsch) Insurance (Optional)

20-day Study Trip EUR EUR EUR EUR

GESAMTBETRAG TOTAL (please fill in)

EUR

…………………………………………………. Datum, Unterschrift Date, Signature

Erhalten von (received from) – office use only Malaysia to Germany Study Info Club (operated by EU Study Exchange ) Registration No. IP0344082-P Club website: www.facebook.com/my.declub Email: eustudex.gmx.com Address: MALAYSIA 10, Lebuh Raya Mandarin, 31650 Ipoh, Perak. Tel: +605-3233294 Fax: +605-3232295

GERMANY Stephanstr. 2 52064 Aachen. +49176-21885680

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998.00 50.00 1048.00 25.00

34-day Study Trip EUR EUR EUR EUR EUR

1498.00 50.00 1548.00 39.00


ANMELDUNG REGISTRATION 1.

General Requirements 1.1. 1.2. 1.3.

2.

3.

1.4. 1.5.

Study Trip participants must be at least 18 years of age. Exception: Participants under the age of 18 shall be accompanied by an over 18-yearold parent or guardian. In this case the parent/guardian is considered to be a participant of the study trip and full fees are applied to him/her. The Study Trip is a self-help trip. Our trip advisors/guest helpers of the study trip are club members or students who are assisting the participants with their trip experience. Apart from the language course, pick-up / send off and scheduled activities mentioned in the registration form, other times are free and easy. Our trip advisors do not stay together with the group at all times, but are reachable by telephone anytime during free and easy. Participants are responsible of their own safety during the study trip. Self-planned group trips are somehow encouraged. We will try our best to assist the group with relevant information regarding group trips.

Terms of Payment

2.1 Upon registration with a registration fee RM300.00 (not refundable), the participant will receive a receipt and an invoice for the balance payment (Amount in Euros converted to a round up amount in Malaysian Ringgit following the current exchange rate) from us. The registration fee is the down payment of the Study Trip fees and is the initial upfront portion of the total amount due. 2.2 Upon registration with full payment, the participant will receive a confirmation letter from us and shortly a confirmation letter from Sprachenakademie Aachen, Germany. Accommodation details and confirmation will only be informed shortly by email before the study trip begins. 2.3 If full payment is not received by the dateline informed by us, the participant will lose the right to attend the study trip and the registration fee is not refundable. 2.4 The price list applicable at the time of registration, which is attached to the registration form, is an integral part of the contractual relationship. 2.5 We do not accept cash payments. Only bank transactions or cheques are accepted as prove of payment (Please refer to our Method of Payment Sheet). Presenting any form of payment mentioned above constitutes acceptance of our Registration, Cancellation and Refund Policy. 2.6 If the participant is unable to take part in the course, the following conditions apply to the cancellation of the study trip services: In case of cancellation received by us no later than 4 weeks prior to the start of the Study Trip, an administration fee of RM500.00 (not including registration fee which is not refundable) is charged. If the cancellation is received by us no later than 3 weeks, we will withhold 50% of the Study Trip fees (not including registration fee). If a participant fails to appear for or withdraws from the Study Trip, there is no entitlement to a refund. 2.7 The date of receipt of cancellation shall be the date of receipt at our office.

Flight ticket 3.1.

3.2. 3.3. 3.4.

The participant can arrange his/her own flight to the Study Trip location in Germany. A group flight can only be arranged when a group travelling together on the same itinerary, flight and date, consists of 10 or more passengers. Individual flight tickets can be booked if a group booking is not available. Airport pick up/send off services is not provided to those who have a different date or time of his/her inbound/outbound flight. We are not responsible of any delays, changes and cancellations of the flight. Flight booking requirements, rules and notices are referred to the Airline Carrier where the flight tickets are booked. Cancellation of the flight ticket when the participant is travelling with group booking is subject to cancellation charges by the Airline Carrier. The participant, in this case is responsible for the additional charges of all other participants who travel in the same group.

4.

Insurance

5.

Accommodation

6.

Obligations of the study trip participants

We strongly advise Study Trip participants to hold an insurance coverage during the Study Trip in Germany and Europe if the participant intends to visit other European countries.

A security Deposit for the accommodation is customary. If no further damages caused by the participant occur, the deposit will be returned to the participant after the study trip. 6.1. 6.2.

7. 8.

6.3.

It is the responsibility of the participant to ensure that his or her stay in Germany is in compliance with the law. We assume that participants have all the necessary legal documents to enter Germany and to reside there for the duration of their studies. It is the sole responsibility of the course participant to take out medical insurance and accident, liability and personal property insurance. We assume no liability in this area. Participants are obliged to comply with the study trip rules and house rules applicable to the accommodation and language center.

Cancellation Policy

We reserve the rights to alter or cancel the study trip without prior notice due to insufficient group members, conditions beyond our control or in the best interest and safety of the study trip. In the case of insufficient group members where a cancellation is decided by us, participants will get a full refund.

Data Protection

The participant hereby consents to the electronic storage and processing of his/her data by us for proper processing of enrolment, billing and study trip records. The participant consents to continue receiving information from Malaysia to Germany Study Info Club.

Die mir ausgehändigten Teilnahmebedingungen erkenne ich als verbindlich an. (Bitte anstreichen) I hereby acknowledge as binding the general terms and conditions provided to me. (Please tick) …………………………………………………. Datum, Unterschrift Date, Signature

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Study Trip to Germany May 2011  

Registration Form with terms and conditions

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