Formulario Objetivo B2 - Academia Puerta Real

Datos Personales / Personal Information / Informations Personnelles

Hombre / Male / MâleMujer / Women / Femme

Nombre / Name / Prénom

Apellidos / Surname / Nom

Correo electrónico / Email / E-mail

Teléfono / Phone number / Téléphone

Fecha de nacimiento / Birth date / Date de naissance

Nacionalidad / Nacionality / Nacionalité

DNI / Nº Pasaporte / Passport / Passeport

Datos De Tutor / Tutor Information / Données Du Tuteur

Nombre / Name / Prénom

Apellidos / Surname / Nom

Correo electrónico / Email / E-mail

Teléfono / Phone number / Téléphone

Fecha de nacimiento / Birth date / Date de naissance

Nacionalidad / Nacionality / Nacionalité

DNI / Nº Pasaporte / Passport / Passeport

¿Cuál crees que es tu nivel actual en español? / What do you think is your current level of Spanish? / Selon vous, quel est votres niveau actual d’espagol?

Si lo prefieres, puedes hacer el “test de nivel”, e indicarnos los resultados obtenidos.
If you prefer, you can take the “level test”, and tell us the results obtained.
Si vous préférez, vous pouvez passer le “test de niveau”, et nous indiquer les résultats obtenus.

Resultados obtenidos en el test de nivel
Results obtained in the level test
Résultats obtenus au test de niveau

¿En qué turno prefieres venir al curso? / What shift do you prefer to assist to class? / Dans quel horaire vous préférez venir au cours?
Turno de mañana / Morning shift / Cours du matinTurno de tarde / Afternoon shift / Cours de l’après-midi

¿Cómo conociste Academia Puerta Real? / How did you find out about Academia Puerta Real? / Comment avez-vous connu l’académie?

¿Cómo nos conociste? / How did you meet us? / Comment nous avez-vous rencontrés?

Modalidad de curso / Course modality / Modalité de cours
Online / En lignePresencial / Onsite / Présentiel

¿Necesitas alojamiento? / Do you need accommodation? / Avez-vous besoin d'un logement?
NCSí / Yes / OuiNo

Indícanos brevemente qué es lo que buscas / Tell us briefly what you are looking for / Dites-nous brièvement ce que vous recherchez

Dirección de residencia / Address of residence / Adresse de domicile

País (opcional) / Country (optional) / Pays (facultatif)

Ciudad (opcional) / City (optional) / Ville (facultatif)

Dirección (opcional) / Address (optional) / Adresse (facultatif)

Contacto de emergencia / Emergency contact / Personne à contacter en cas d'urgence

Nombre y apellidos / Name and surname / Prénom et nom

Correo electrónico / Email / E-mail

Teléfono / Phone number / Téléphone

Comentarios / Comments / Commentaires

Acepto el Aviso Legal, Política de devoluciones y la Política de Privacidad* / I accept the Legal Notice, Refund policy and the Privacy Policy* / J'accepte les Mentions légales, Politique de remboursement et les Politique de confidentialité*

He leído el Aviso Legal, Política de devoluciones y la Política de Privacidad* / I have read the Legal Notice, Refund policy and the Privacy Policy* / J'ai lu les Mentions légales, Politique de remboursement et les Politique de confidentialité*

Aceptar condiciones, Accept conditions, Acceptez les conditions

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Redirigiendo a la pasarela de pago / Redirecting to payment gateway / Redirection vers la passerelle de paiement

Por favor, espere / Please, wait / S'il vous plaît, attendez

Redirigiendo a la pasarela de pago / Redirecting to payment gateway / Redirection vers la passerelle de paiement

Por favor, espere / Please, wait / S'il vous plaît, attendez

Aviso de privacidad