Personal Details

Given name: *
Family name:
Date of birth (dd/mm/yyyy):
Gender: Male Female
Country of birth: Nationality: *
Passport Number: * Expiry Date:
Address in home country : *
Phone number: * Email: *
How did you get to know about us?
Website Friends Agent Others
If Agent, provide Agent Name:
 
Course details
Course applying for:  
Intensive General English Starting date How many weeks
Academic English Starting date How many weeks
English for Professional Communication Starting date How many weeks
Study & Tour + Summer Program Starting date How many weeks

IELTS/TOEFL Preparation

Starting date How many weeks
Dual Certificate Program Starting date How many weeks
Foreign Language Starting date How many weeks
Accommodation details

*Do you want SEA to arrange accommodation for you? (*$100 Arrangement fees applied)

No Yes Starting date How many weeks

Accommodation Online Booking Click here


*Do you want SEA to arrange Airport Pickup for you? (*$100 Arrangement fees applied)

No Yes Arrival date Timing
  Flight name: Flight No:

 
     

 

www.stanfordenglish.co.in
Monarch Orchid, Ground Floor, Sector-19, Plot No. 94 & 95, Behind Reliance Fresh, Kharghar, Navi Mumbai 410 210 Maharashtra India
Telephone +91 22 2774 6233 | Email info@stanfordenglish.co.in