Lesson 1. Vital Statistics » 26

Imagine you are applying for a course in Britain. Fill in the application form below. Уяви, що ти подаєш анкету на курси в Британії. Заповни бланк. 1. Personal Details Surname/Family name: (твоє прізвище) Levchenko Other names: Sofia (Please, give your name as it appears in your passport) Title Miss Gender (стать) F Birthplace (місце народження) Kyiv Date of birth (dd/mm/yy) (дата народдення) – 22.06.2005 Marital status Single Married Tel no. 0632654324 E–mail address foxtail@gmail.com Address for correspondence (поштова адреса) 140 Shewchenko str; Apt 152 Nationality Ukrainian Country of permanent residence Ukraine 2. Proposed Course of Study Which programme are you applying for? (Please, underline) Term 1 only (September start) Full year (September–June) List your five preferred courses. 1. Literature 2. Culture 3. Histiry 4. Language 5. Nature 3. Who will be paying your fees? Yourself Parents Signature (підпис) Date (дата)