Contact Details Form

It is important we are able to contact you during your stay in the UK. Please complete all the details below accurately. Please let us know at reception if these details change during your stay.

Malvern PLC is committed to processing information in accordance with the General Data Protection Regulation. The personal data collected on this form will be held securely and will only be used for administrative purposes. You have the right to request to see a copy of the information we hold about you and to request corrections or deletions of the information that is no longer required.

Name(Required)

First Last

Your student ID

Your date of birth(Required)

Your email address(Required)

Your current address(Required)

Street Address City ZIP / Postal Code Country

Your phone number(Required)

Upload an image for your Student ID card(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 8 MB.

Your full address in your home country (Saudi Arabia, Kuwait, Brazil, Spain, France, etc)(Required)

Street Address City ZIP / Postal Code Country

Emergency Contact Details

Name(Required)

First Last

Relation to student(Required)

Phone(Required)

Email(Required)

English Level

No English

Elementary

Pre-intermediate

Intermediate

Upper-intermediate

Advanced

Contact Details Form

Emergency Contact Details

How to find our Manchester English School

Our Address

Phone

Email