The berlin british school

ELAT Candidate Application

For Test Date: Wednesday 4 November 2015
Information required:

First name	     
Surname	     
Date of birth	     
Gender	     
Name of university applied to	     
10-digit UCAS reference number (if known)	     
Course and course code(s)	Course       Course Code      
Please indicate which College	     
Contact Address	Street name       House number       Postal code       City       Country      
Telephone number	     
Email address	     

Please enclose or transfer 75 Euros to cover administration costs Bank Details WEBERBANK Konto : IBAN DE78101201001004005168 SWIFT CODE: WELA DE D1 WBB Verwendungszweck/Reference – ELAT - BBS Exams and name

Applications can only be accepted if the fee is transferred before Wednesday, 30 September 2015 - after this no entries can be made. This form and the fee transfer details should be mailed to: Assistant Head of Secondary School Berlin British School Am Postfenn 31 14055 Berlin