ENQUIRY FORM

Name: 
  
Date of Birth:
 : : 19
Address:
Email:
Telephone:
 Home:
  Mobile:
 
 Work:
  Fax:

EDUCATION:

High School:  
Qualifications:  :
Bachelor's Degree (or Other) & Subject:   
GPA :
University / College:   
Year completed :
If you are a bachelor’s degree student now, what is your current Year of Study?            
1st    2nd    3rd   4th
Master's Degree & Subject:   
 GPA:
University / College:   
 Year completed :
WORK EXPERIENCE:
 year(s)
Details:     
ENGLISH:  IELTS Score   TOEFL Score  WELT Score  Other
   Date Taken  Date Taken  Date Taken    
PROGRAMME OF INTEREST
 Foundation    Bachelor's     Master's     PhD / Doctorate    English Language
 Course / Subject:

Universities that interest you:
BATH   EXETER    LIVERPOOL  WARWICK   

 Consortium UK
4th Floor Silom Complex, 191 Silom Road, BANGKOK 10500, Thailand
(direct access to BTS Sala Daeng and MRTA Silom stations, the building
has a large car park and a branch of Central Department Store in it)

Tel: 0 2231 3282 Fax: 0 2231 3281
Mobile: 081 381 7941 (Justin), 083 032 8812 (Kaek)  

E-mail: info@consortiumuk.net
Website: www.consortiumuk.net

OPEN: Monday to Saturday 11.00-18.00
(often later – please ask for later appointment) and usually on Sunday afternoon 14.00 to 18.00
* please note that we are normally open on all national holidays