Enrolment_form_2016__1_.pdf

GOETHE-INSTITUT / MAX MUELLER BHAVAN MUMBAI ENROLMENT FORM PERSONAL DETAILS

Mr Mr

Mrs Mrs

Ms Ms

Miss Miss

Other _________________________ Other _________________________

First Name: ____________________________ Surname: ____________________________ Surname: ____________________________ Name: _____________________________ Address: _________________________________________________________________________________ Date of Birth: ___________________________ Place of Birth: ____________________ ___________________________________________________ Postcode: ____________________________ Address: _________________________________________________________________________________ Phone: ____________________________ Mobile: __________________________ ___________________________________________________ Pincode: ____________________________ Email: ____________________________________________________________________________________ Phone: ___________________________________ Mobile: ______________________________ Date of Birth: ___________________________ Place of Birth: _______________________________ Email: ____________________________________________________________________________________ I WISH TO ENROL IN THE FOLLOWING COURSE Course Level: ______________ Venue: ___________________ Timeslot: _________________ Course Level: ______________ Venue: ___________________ Timeslot: _________________ Course Fee:________________ Course Fee: _______________

PREVIOUS KNOWLEDGE OF THE LANGUAGE I am a complete beginner I amI ahave complete beginner attended a course in the last semester at level ____________ I have attended a course in the last semester at level ____________ Marks obtained __________ Marks obtained __________ I have attended classes at the Goethe–Institut a while back: level_________ / about _________ year/s ago at the Goethe – Institut a while back: level ___________ / I have attended classes I have some previous knowledge but have not attended any classes at the Goethe-Institut about _________ year/s ago before. a brief description. I havePlease some give previous knowledge but have not attended any classes at the ___________________________________________________________________________________ Goethe-Institut before. Please give a brief description. ___________________________________________________________________________________

PAYMENT I enclose a Demand Draft (made payable to “Max Mueller Bhavan” I enclose a Demand Draft bearing no. _________________ (made payable to “Max Mueller Bhavan”) Cash I HAVE READ AND ACCEPTED THE TERMS AND CONDITIONS (see back page)

Signature: ________________________________

Date: ________________

GOETHE-INSTITUT / MAX MUELLER BHAVAN MUMBAI

INFORMATION FOR STATISTICAL PURPOSES *will be kept strictly confidential How did you hear about the Goethe-Institut / Max Mueller Bhavan Mumbai? Advertisement in: _______________ Advertisement in: _______________ Internet Search Internet Search Friends / Relatives Friends / Relatives Other: ___________________________ Other: ___________________________

About yourself Nationality ___________________________ Nationality ___________________________ Mother tongue ___________________________ Mother tongue ___________________________ Present occupation ___________________________ Present occupation ___________________________

What is your main reason for studying German?

Professional reasons School / University Professional reasonsstudies School University studies in Germany Interest/ in the culture Interest the culture. Spouse in / Partner lives in German Spouse Hobby / Partner lives in Germany

GOETHE-INSTITUT / MAX MUELLER BHAVAN MUMBAI Terms and Conditions Dear Student, Welcome to Goethe–Institut / Max Mueller Bhavan Mumbai! With regards to our course structure, we would like to bring the following points to your attention: ATTENDANCE: The student is expected to be punctual and regular in attending class. Goethe – Institut /Max Mueller Bhavan Mumbai does not make up for the time lost by the student through absence. Attendance Certificate for the course can be issued only with the minimum 75% attendance. PASSING For all levels, except B2.1, it is mandatory for the student to clear the international examinations of the Goethe – Instiut in order to be promoted to the next higher level at MMB Mumbai. Passing marks for the examination is 60%. Only those who pass the levels with the required percentage will be awarded certificates of the respective levels. B2.1 level: The B2.1 level course will have internal assessment tests. Passing marks are 60%. Certificate will be awarded only to students with minimum 75% attendance. EXAMINATIONS The international examinations of the Goethe – Institut are offered to our students at concessional rates. Kindly check our website www.goethe.de/mumbai for the current exam fees for internal candidates. The examination fees are not included in the course fees and have to be paid at least a week before the examination. The fee structure is subject to revision with prior notice. Delay in payment fees is not allowed. Exam fees are non refundable and non transferable. The dates for the examination are announced in the class. In case a student fails in the exam, the student can repeat the same level or appear again for the next scheduled international examination as an external candidate. Concessional rates are not applicable for external candidates. ADMISSION TO FURTHER COURSES •

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Admission to the next course is granted only against full payment of tuition fees on the date of admissions. Enrolment for all courses are open on a first come, first served basis as long as the seats are available. Registration on the specified dates as mentioned in the course schedule: Mon- Fri 10.00 – 13.00 & 14.00 – 16.00. Fees are payable by demand draft or cash in favor of “Max Mueller Bhavan” payable at Mumbai. Payment by cheques or credit cards is not acceptable. The fee structure is subject to revision without prior notice. In case of late payment, late fee charges are applicable. If there are insufficient enrolments for a particular time slot, that course will be cancelled and the fee reimbursed fully only against the original course fee receipt.

GOETHE-INSTITUT / MAX MUELLER BHAVAN MUMBAI ID CARDS ID Cards are issued to the student at the start of the course. The student is expected to carry it at all times and produce it on demand. It is mandatory to hand over the ID card at the time of collecting the certificates. Loss of ID Card should be immediately reported to the office in writing. COLLECTION OF CERTIFICATES The student can collect the certificate against the ID Card in person. All certificates are to be collected within two months of appearing for the exam. Goethe-Institut / Max Mueller Bhavan Mumbai is not responsible for the certificates thereafter. If the student cannot collect the certificate in person, then the certificate can be collected by an authorized person against the Goethe-Institut / Max Mueller Bhavan Mumbai ID Card and an authorization letter from the student. CORRECT INFORMATION ON CERTIFICATES Information on the certificate will appear as written on the examination form. Any corrections on the certificate should be done within 15 days of issue and would attract a penalty of Rs.1500/DUPLICATE CERTIFICATES In case a certificate is lost/misplaced, a duplicate certificate will be issue against payment of Rs.1500/-. FOR REFUNDS • • •

In case of withdrawal of participation up to the start of the course, Rs. 1000/- will be deducted from the total course fees. In case of withdrawal of participation within a week from the start of the course, 40% of the course fees will be refunded, thereafter there will be no refund of course fees. All requests for refund of fees must be made in writing to the office.

HOLIDAYS DURING THE YEAR Kindly refer to our website www.goethe.de/mumbai for the list of holidays. TRANSFER OF FEES •

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The student does not have the right to change the batch once registered. A transfer is only granted in exceptional cases. A request for transfer has to be given to the office in writing and the transfer is effective from the date the office receives the request in writing. The decision to grant a transfer is solely at the discretion of the Language department. No refunds are possible, once the transfer is granted. No transfer is granted after 50% of the course is completed. Transfer of fees is valid for six months from the date of transfer. Retransfer is not allowed. Transfer charges are Rs.1000/-

GOETHE-INSTITUT / MAX MUELLER BHAVAN MUMBAI ENTRANCE TESTS For candidates who have learnt German previously, and wish to apply to Goethe-Institut / Max Mueller Bhavan Mumbai directly for a level higher than A1, are required to clear an entrance test. Kindly contact the office for the dates and timings.

The test result decides the level the candidate can join and the decision of our faculty members is final and binding. The fees for the entrance test are Rs.1000/- (payable only by cash). On joining the course with immediate effect, the same are adjusted against the course fees. Please note that the entrance tests fees are non – refundable. Candidates from Goethe-Institut / Max Mueller Bhavan Mumbai or other Goethe-Insitut who have successfully cleared the international exams within the last 6 months are fully exempted from the entrance tests. If a candidate has appeared for an exam at any Goethe-Institut and has not cleared the exam, the candidate is permitted to appear for the entrance test only after 6 months. BOOKS Course book charges are not included in the course fees and the course books have to be bought at the start of each course. The student is expected to abide by all rules and regulations of the Institut that are in force or may come into existence during their association with the Institut. The decision of the management of the Institut in all matters will be final. In case you are not satisfied about something, please talk to your class teacher. If you require further clarification, please discuss with the Language Department. You can always talk to the director with prior appointment.

CONTACT: Goethe–Institut / Max Mueller Bhavan Mumbai Max Mueller Bhavan K.Dubash Marg, Kalaghoda, Mumbai 400 001 Tel: +91 22 22027710 [email protected] www.goethe.de/mumbai