APPLICATION FORM

Use this application only to enroll, for further information please e-mail to imb@imb.it

to enroll in a special course click here

1
Fill in the following Application Form and wait for our answer.
2
If the application is approved, we'll reserve a place for you in the course and the date chosen for 30 days. In 30 days you will send us your passport copy or id card and the copy of enrollment fee payment (1000 Euro) by mail, e-mail or fax.
3
As soon as we’ll receive the above-mentioned documents we’ll send you your Enrolment Certificate and invoice. If you need our reference for your Student Visa we will be able to send them after a payment of 50% tuition fee is paid. Ask to Italian Embassy or Consulate of your country if Student Visa is required.
4
You have to pay full tuition fee at least 30 days before your course starts. Please see refund fee rules.
5
At your arrival in Italy we’ll give you our reference for your “Permit to Stay” – if it’s required - in the Police Station. We’ll be at your disposal for any kind of assistance in Italy.

 

Application Form

STUDENT DETAIL

Surname Name
date of birth / / place of birth
country of citizenship Sex M F

ADDRESS (Residence)

country city zip code
address telephone

CURRENT ADDRESS (If different from residence)

country city zip code
address telephone

E-Mail Address

Previous Studies completed

school city from/to

Request to be admitted in the following course

Course Type Starting in
Communicate with me by e-mail mail
Primary Language
Other Language

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Comments


In accordance with Italian law 675/96, we would like inform you that the data collected above will be used only for communication from Istituto di Moda Burgo.
You can modify or delete your details in any moment sending a letter , fax or e-mail to us.




Please check again your personal detail and press SUBMIT button