FORMULAIRE D'INSCRIPTION / enrolment form - Le CLL

FORMULAIRE D’INSCRIPTION / enrolment form / inschrijvingsformulier
did deutsch-institut via CLL Language Centres
à renvoyer au CLL / to be sent back to CLL / Terug te sturen naar CLL
4 pages à remplir / please ensure 4 pages are complete / 4 pagina’s in te vullen
Merci de nous envoyer l’exemplaire avec signatures (par fax, par la poste ou scanné)
/ Please send us the enrolment form with signatures (by fax, mailing or scanned document) / Gelieve het formulier ondertekend
terug te sturen (per fax, per post of gescand).
INFORMATIONS PERSONNELLES / personal details / persoonlijke informatie
Nom / family name / naam: Sexe / gender / geslacht: F/ V M
Prénom / first name / voornaam :
Nationalité / nationality / nationaliteit :
Numéro de passeport / passport number / paspoortnummer :
Profession / occupation / functie :
Première langue / first language / moedertaal :
Deuxième langue / second language / tweede taal :
Date de naissance / date of birth / geboortedatum
(jour/mois/année) / (day/month/year) / (dag/maand/jaar) : / /
Adresse courrier / mailing address / adres :
Code postal / postcode : Ville / town / stad :
Pays / country / land :
Téléphone privé / home phone number / privé telefoonnummer :
Téléphone professionnel / work phone number / beroepstelefoonnummer :
Fax :
E-mail / email:
Quel est votre niveau d’allemand ? / what is your level in German ? / wat is uw niveau in het Duits ?
débutant / beginner élémentaire / elementary / elementair
pré-intermédiaire / pre-intermediate / pre-intermediair intermédiaire / intermediate / intermediair
intermédiaire fort / upper intermediate / hoog intermediair avancé / advanced / gevorderd
Quels sont vos hobbies ? / what are your hobbies ? / welke zijn uw hobby’s ?

Personne à contacter en cas d’urgence / person to notify in case of emergency / contacpersoon in noodgeval
Nom, prénom + lien de parenté avec étudiant / name and relation to student / naam, voornaam + familieband :
E-mail / email:
Téléphone / phone number / telefoonnummer :
Comment avez-vous fait la connaissance du CLL Language Centres
/ How did you hear about CLL ? / Hoe hebt u kennis gemaakt met CLL?
INSCRIPTION / enrolment / inschrijving
Choisissez la ville / choose your location / kies de gekozen stad :
Berlin Frankfurt Munich Hamburg
Choisissez le cours ou le numéro du « package » choisi
/ choose your course or chosen package number / kies de gekozen cursus of het « package » nummer :
Package nr :
(nos packages sont décrits sur notre site web : www.cll.be
/ our packages are detailed on our website www.cll.be
/ onze packages worden op onze website beschreven : www.cll.be)
Si vous choisissez un package, ne remplissez que les parties en jaune jusqu’à la partie
« Assurances » car le package détermine déjà le logement, les cours et les transferts./ Indien u
voor een package kiest, gelieve enkel de gele delen in te vullen (tot het deel « Verzekering »). De package bepaalt al de logies,
de cursussen en de transfers.
Standard courses
Intensive courses
Premium courses
Business German -nombre de leçons par jour / number of lessons per day / aantal lessen per week :
Summer intensive courses
Cours individuels supplémentaires (nombre de leçons par semaine) / additional one-to-one (lessons per week)
/ extra privé lessen (aantal lessen per week) :
2 4 6 8 autres (multiple de 2 / only double units !) / andere (veelvoud van 2 !) :
Dates des cours / course dates / cursusdata :
du / from (jour/mois/année) / (day/month/year) / (dag/maand/jaar) : / / (du lundi / from
Monday / van maandag)
au / to (jour/mois/année) / (day/month/year) / (dag/maand/jaar) : / / (au vendredi / to
Friday / tot vrijdag)
Nombre de semaines de cours / number of weeks / aantal weken cursus :
Choisissez votre logement / please choose your accommodation / Kies uw huisvesting
Famille d’accueil – chambre double / Homestay – shared room / gastgezin – dubbele kamer
Famille d’accueil – chambre individuelle / Homestay – single room / gastgezin – individuele kamer
Chambre privée dans un appartement / private room / apartment / privé kamer in een appartement
Auberge de jeunesse / youth hotel / jeugdherberg
Repas / meals / maaltijden
sans repas / no meals / zonder maaltijd
avec petit déjeuner / with breakfast / met ontbijt
demi-pension / half-board / half pension
pension complète / full board / vol pension

Dates du logement / accommodation dates / accommodatie data:
du / from / van (jour/mois/année) / (day/month/year) / (dag/maand/jaar) : / / (du
dimanche / from Sunday / van zondag)
au / to (jour/mois/année) / (day/month/year) / (dag/maand/jaar) : / / (au samedi / to
Saturday / tot zaterdag)
Avez-vous des allergies, un régime particulier ou des problèmes de santé à signaler ?
(spécifiez) / do you have allergies, special diet or other relevant health problems ? (Please specify) / Hebt u allergieën,
volgt u een bijzonder dieet, lijdt u aan een ziekte ? (preciseer) :
Autres préférences ou commentaires concernant le logement
/ other preferences or comments about the acommodation / andere voorkeuren of commentaren wat betreft huisvesting:
Etes-vous fumeur ? / do you smoke ? / Rookt u ? oui / yes / ja non / no / nee
Souhaitez-vous un logement non fumeur ?
/ would you prefer non-smoking accommodation ? / wenst u een niet rokersslaapkamer ?
oui / yes / ja non / no / nee
Souhaitez-vous un transfert privé? / would you like a private transfer to your accommodation? / wilt u een transfer
bij aankomst of/en terugkomst?
oui à l’arrivée / yes on arrival / ja bij aankomst oui à l’arrivée et au départ / yes on arrival
and departure / ja, bij aankomst en terugkomst
oui au départ / yes on departure / ja bij terugkomst non / no / nee
Les détails du vol peuvent être envoyés plus tard (ne réservez pas votre vol avant d’avoir la
confirmation du séjour !) – Flight details can be filled in later ( please do not book your flights before getting
confirmation of your enrolment !) / Vluchtgegevens mogen later opgestuurd worden (maak geen vluchtreservering voordat u de
verblijfsbevestiging krijgt !)
arrivée / arrival / aankomst
� aéroport / airport/ luchthaven :
� compagnie aérienne / flight company / luchtvaarmaatschappij :
� numéro de vol / flight number / vluchtnummer :
� vol au départ de / connecting from / uit (stad) :
� date (jour/mois/année) / date (day/month/year) / datum (dag/maand/jaar) : / /
� heure / time / uur :
départ / departure / terugkomst
� aéroport / airport/ luchthaven :
� compagnie aérienne / flight company / luchtvaarmaatschappij :
� numéro de vol / flight number / vluchtnummer :
� vol vers / connecting to / naar (stad) :
� date (jour/mois/année) / date (day/month/year) / datum (dag/maand/jaar) : / /
� heure / time / uur :
ASSURANCES / insurance / verzekeringen
Assurance annulation / cancellation insurance / annuleringsverzekering
Le CLL propose également une assurance annulation (4,5% du montant total) auprès de La
Compagnie Européenne. Les conditions générales de cette assurance peuvent vous être
envoyées sur simple demande. / CLL suggests a cancellation insurance (cost : 4,5% of the total amount). Terms
and Conditions can be sent upon request. / CLL stelt ook een annuleringsverzekering voor (4,5% van het totale bedrag) bij de
Europese Maatschappij. De verzekeringsvoorwaarden kunnen u worden gestuurd op verzoek.
Je souhaite souscrire à l’assurance annulation auprès du CLL
/ I would like to subscribe to the cancellation insurance via CLL.
/ Ik wens een annuleringsverzekering via CLL.
oui / yes / ja non / no / nee
Méthode de paiement : via le CLL
/ method of payment : via Representative CLL / betaling door CLL
J’ai lu et j’accepte les conditions générales de vente.

I have read and understood the Terms and Conditions / Ik ga akkoord met de algemene voorwaarden. Gelezen en
goedgekeurd :
Date d’inscription / enrolment date / inschrijvingsdatum (jour/mois/année) / (day/month/year) / (dag/maand/jaar) :
/ /
Signature / handtekening :
(signature obligatoire et document à nous renvoyer par fax, la poste ou scanné
/ please send us the enrolment form with signature (by fax, mailing or scanned document) / (Verplichte handtekening en
formulier terug te sturen per fax, per post of gescand).
Conditions générales de vente spécifiques à Did
(en complément aux conditions générales de vente du CLL Séjours Linguistiques)
/ Specific terms and conditions of Did (in addition to CLL Abroad terms and conditions) / Specifieke algemene voorwaarden
voor Did (in aanvulling van algemene voorwaarden van CLL Abroad).
Subsequently you will find the general terms and conditions of did deutsch-institut worldwide gmbh, registered office in
Frankfurt am Main, Germany. These business conditions are the contractual basis for the cooperation with all official national
and international representatives of did deutsch-institut worldwide gmbh. Unless there are other written agreements, the
following general terms and business conditions fully apply to all our business partners.
The general terms and conditions of did deutsch-institut worldwide gmbh are organized under the following 5 headers:
1. Conditions of enrollment
2. Conditions of payment
3. Arrival and accommodation
4. Tuition
5. Liability and miscellaneous
Acknowledgement and agreement
With the enrollment of an individual client as well as a group of clients you confirm to acknowledge and agree
with the general terms and conditions of did deutsch-institut worldwide gmbh laid down in this Agents’ Manual.
An enrollment is binding when received by us. The contract is effective after the enrollment has been confirmed
in writing by did deutsch-institut.
1. Conditions of enrollment
1.1 Enrollment of individuals
Our enrollment forms for adults and juniors can be found under www.did-agents.com. Here you also have the choice to
comfortably enroll your clients online. Upon request we will of course send you the respective enrollment forms via fax or email.
For the enrollment of minors we always need a parental declaration of acceptance. Bookings for minor students that are
not accompanied by this so-called parental declaration, cannot be accepted.
Please also note that any details on accommodation can only be made available on receipt of the full payment into the account
of did deutsch-institut worldwide gmbh. Please make credit transfers to the bank account of did deutsch-institut that you
will find under point 2.4 Bank Details.
1.2 Enrollment of groups
Groups will be enrolled on individual agreement with the responsible did deutsch-institut sales consultant for your country.
Upon enrollment a payment of 10% of the total amount must be made. The enrollment of (homogeneous) groups becomes
binding for did deutsch-institut only if a payment of 90 % of the total amount has been made at the latest 3 weeks prior to arrival
into the bank account of did deutsch-institut that is given under point 2.4 Bank details. If this is not the case did deutsch-institut
reserves the right to withhold accommodation details. The total amount for all services (e.g. tuition, accommodation, transfer
etc.) has to be credited in full to our account on the date of arrival at the latest.
1.3 Confirmation of enrollment | Invoice processing
After having received all enrollment details the res ponsible did deutsch-institut sales consultant for your country will send you
the confirmation as well as the invoice by e-mail usually within 24 hours – but at the latest within 48 hours (except on weekends
and on bank holidays). If you wish, we may also send you the documents by mail or fax. In urgent cases, we can post all
documents through DHL Express for extra charges of 65,- € approximately. Fees depend on the respective fare zone.
1.4 Change of booking
Changes of booking can be made free of charge only in case of upgrading a booked service, for example changing to a course
with a higher number of weekly lessons. Changes of booking resulting in a downgrade of the originally booked services can be
made until 4 weeks prior to the course start at an administration fee of 50,- €. If changes of booking are made at a later date
than 4 weeks prior to the booked course start, did deutsch-institut reserves the right to charge a higher administration fee.
1.5 Cancellation prior to course start
Cancellations of services made in advance have to be submitted in writing. Until 4 weeks prior to the course start the
administration fee will be 50,- €. After that, and until 2 weeks prior to the course start, we will charge an administration fee of
100,- €. For all cancellations during the remaining 14 days prior to the course start we will charge an administration fee of 250,-
€. Irrespective of the time the cancellation is received, did deutschinstitut reserves the right to invoice the fees for booked
services for accommodation and/or board in addition to the administration fee, either in part or to the full extent. If participants
do not show up at the course start, the full amount for the course, accommodation, and all additional services have to be paid.
1.6 Cancellation after course start
Cancellations, in full or in parts, of services booked in advance such as tuition, accommodation, transfer etc. are not possible
after course start. If a participant abandons the course for reasons unconnected with any fault on the part of did deutsch-institut,
there will be no refund. A cancellation of the chosen type of accommodation is not possible within the first 4 weeks after arrival,
unless there is a major fault on the side of did deutsch-institut. The cancellation of the chosen accommodation after arrival
is only possible at the end of the fourth week if two weeks notice is given in writing. There will be no refund. The law governing
termination for grave cause remains unaffected by these conditions of cancellation.
1.7 Cancellation for grave cause

The right of cancellation for grave cause, for instance in case of an acute health problem, an accident or death of relatives, is
not affected by the terms of cancellation of did deutsch-institut. In any case we need reliable proof such as a certificate issued
by a doctor or a public authority. Adequate reasons for refund given, did deutsch-institut will refund all fees less the bank
charges to the person, institution or agency that made payment to did deutsch-institut beforehand.
2. Conditions of payment
2.1 Validity of prices
Generally all course prices given in this Agents‘ Manual are valid from 01.01.2011 until 31.12.2011, and beyond this date, as
long as the start of a chosen course program is within the time of validity. Irrespective of the booking date, the prices given are
not valid for course programs starting after 31.12.2011 for which the appropriate prices for 2012 will be in effect. Prices for 2012
will be released in August 2011. The prices for all options of accommodation are solely valid from 01.01.2011 until 31.12.2011.
The prices for the High School Program and the Boarding School Program are effective for the academic school year
2011/2012 beginning in August and ending in July, that is from 01.08.2011 until 31.07.2012.
2.2 VAT
All did deutsch-institut courses are exempt of VAT (value added tax). Family accommodation is exempt of VAT for all
participants under 27 years of age. For participants 27 years and older at the time of booking, did deutsch-institut is obliged by
law to collect the statutory VAT of currently 19% on family accommodation. We took this into consideration when calculating the
prices by applying a mixed calculation so that we can offer family accommodation at identical prices to all clients of different
ages. Please note that by doing so we can no longer report the VAT for family accommodation separately on the invoice. For
services liable to VAT the taxes are already included in the published net prices you will find in this Agents’ Manual.
2.3 Payments
All invoices will be made out in Euro (€) and have to be settled in this currency. The full payment for all items booked (course,
accommodation and additional services) must be credited to the did deutsch-institut account at least two weeks prior to the
program start. Please make payments into the account mentioned under 2.4 Bank details. Payments with credit cards will not
be accepted. Please note that bank charges in connection with payments must be borne by the agent or will, if necessary, be
invoiced in connection with follow-up bookings. Please understand that accommodation details as well as invitation letters for
visa application purposes will only be made available on receipt of the total invoice amount on our bank account.
2.4 Bank details
Please make all payments by bank transfer into the following account stating invoice number and name of participant(s):
Beneficiary did deutsch-institut worldwide GmbH
Credit institution Deutsche Bank AG Frankfurt am Main
Account number 094 163 300
Bank code (BLZ) 500 700 10
SWIFT BIC DEUT DE FF XXX
IBAN DE 7150 0700 1000 9416 3300
3. Arrival and accommodation
3.1 Entry requirements | Visa
Generally all participants need a passport (or identification card) valid for the total time of their stay in Germany. If an
identification card or a passport expires during the stay at did deutsch-institut according to law the participant has to leave the
country. did deutsch-institut assumes no liability and does not refund already booked courses that cannot be attended because
of an invalid identification card or passport. Participants from member states of the European Union only need a valid identity
card for traveling to Germany. Participants from non-European Union countries may need a visa. Please contact the German
embassy or consulate in your country for more information on the current visa requirements.
3.2 Visa application | Letter of invitation
The applicable conditions are detailed on page 19.
3.3 Accommodation | Host family
With accommodation in a host family, irrespective of the course location and age of the participant, students can choose from
different options for meals and rooms (single or double). You will find this and more related information in the appropriate
course description. The did deutsch-institut host families live in the vicinity of our institutes and schools. From the place of
residence to the school it will take the participants not more than 45 minutes one way on public transport.
3.4 Accommodation | Residence
In the summer months we offer residence courses for juniors in Höchst im Odenwald (8 to 14 years), Hintersee (12 to 16 years)
and Berlin (14 to 17 years). In Höchst participants stay in triple or four-bed rooms with bathroom and WC either next to the
room or on the floor. In Hintersee participants stay in triple or four-bed rooms with en suite facilities. In Berlin two
accommodation options are on offer: double or four-bed rooms.
3.5 Accommodation | Youth hotel and hotel
In Berlin, Frankfurt, Hamburg and Munich participants who are 18 years or older at the time of their arrival can choose between
three residences. The budget hotels offer a good price-performance-ratio. The hotels in the standard and superior category
offer more convenience at relatively low prices. For our business clients we gladly book a business hotel near the school upon
request. Please note that we only make hotel reservations upon request and cannot guarantee vacancy in advance.
3.6 Transfer
The applicable conditions are detailed on page 19.
3.7 Transfer prices 2011 (between 8 am and 8 pm)
Airport (from /to) Destination Prices (one way)
Airports Berlin (TXL / SXF) to Berlin 60,- €
Airport Cologne (CGN) to Cologne (shuttle) 40,- €
Airport Frankfurt (FRA) to Frankfurt 60,- €
to Aschaffenburg (shuttle) 40,- €
to Wiesbaden (shuttle) 50,- €
Airport Hamburg (HAM) to Hamburg 60,- €
Airport Munich (MUC) to Munich 60,- €
to Augsburg (shuttle) 60,- €
to Nuremberg 120,- €
Airport Nuremberg (NUE) to Nuremberg 40,- €
Summer residences airport shuttle Prices (one way)
Airports Berlin (TXL / SXF) to Berlin 50,- €
Airport Frankfurt (FRA) to Höchst im Odenwald 50,- €
Airport Munich (MUC) to Hintersee 90,- €
Airport Salzburg (SZG) to Hintersee 50,- €

Prices for transfers prior to 8 am and after 8 pm as well as for extra transfers out of schedule upon request! Transfer
surcharges for participants travelling as unaccompanied minors on request!
There are no transfers from/ to Frankfurt Hahn Airport!
4. Tuition
4.1 Timetable
Tuition of language courses for students under 17 is generally held in the morning. The same applies to our schools in Berlin,
Frankfurt, Hamburg and Munich. However, here classes may also be held in the afternoon, for instance during the peak
booking season in the summer months June until September. If so, should classes coincide with the leisure time activities
offered by us, participants have no right of compensation.
4.2 Course placement | Duration of lessons
Placement on arrival (placement test and interview) occurs during class time. A possible reduction in the number of weekly
lessons due to placement testing does not entitle participants to claim compensation. One lesson lasts 45 minutes.
4.3 Minimum number of participants
If the number of participants on one course level is under 4, did deutsch-institut reserves the right to reduce the weekly lessons
by 20%. For Premium Courses a special rule applies. This course is an extension of the Intensive Course by 4 lessons. If there
are less than 4 participants on one course level, the number of additional lessons given will be reduced by half. In total a
Premium Course would then include 26 instead of 28 lessons per week.
4.4 Canceled lessons on bank holidays in 2011
Private tuition not taking place due to German bank holidays will be compensated. Group tuition will be canceled.
Jan. 06 Munich June 23 Munich / Frankf. / Wiesb.
April 22 countrywide Aug. 15 Munich
April 25 countrywide Oct. 03 countrywide
June 02 countrywide Nov. 01 Munich
June 13 countrywide
4.5 Annual closing
Please find the annual closing dates on the pages 26 (Berlin), 28 (Frankfurt), 30 (Hamburg), 32 (Munich) and 49 (Wiesbaden).
4.6 Absence | Interruption of school attendance
There will be no refunds in case of delayed arrival to a course or for non-attendance of classes. Such absence can not be
compensated by an extension of the course period. An interruption of a course is possible only if the total length of course
booked is 24 weeks or beyond. Within the course period, participants may apply for an interruption (two weeks in advance and
in writing) of the course for a maximum period of two calendar weeks.
4.7 Internship Program
Participants, 18 to 26 years old, who want to take part in the Internship Program must be enrolled at a university in their home
country. Internship placements are only available in combination with the booking of German lessons. Therefore all participants
must book a minimum of a 6-week Standard, Intensive or Premium Course. Please note that the German Employment
Office only permits internships for the age group 18 to 26.
4.8 University Placement Program
In the case of unsuccessful placement at the initial university, a maximum of two further attempts at other universities will be
undertaken. If all three placement attempts fail, due in no part to the fault of the participant, the service fee for placement, less
an expense allowance of 400,- €, will be fully refunded. If the basis for the placement failure can be attributed to actions
resulting from the participant’s behavior (i.e., incomplete application materials, a change in the desired course of study, etc.), no
refund will be given. Cancellation fees for the language course correspond to the conditions set forth in paragraphs 1.4 to 1.7.
Placement will occur only after receipt of full payment of placement and course fees, and receipt of all application documents.
4.9 Self-Study Center | Activity program
The applicable conditions are detailed on page 19.
5. Liability and miscellaneous
5.1 Responsibility and due diligence (care)
A booking for under age participants requires a written agreement signed by their parents or guardians. did deutsch-institut
does not take responsibility and care responsibility for underage participants. Especially employees, host families, guides and
all other co-workers of did deutsch-institut cannot accept full responsibility for under age participants. did deutsch-institut does
equally not take responsibility for under age participants at Residence Courses in Berlin, Hintersee and Höchst im Odenwald.
The responsibility of did deutsch-institut is limited to inform the legal guardians if the behavior of a participant gives reason to
be worried. Only participants in good health can be accepted.
5.2 Undisciplined behavior
An undisputable behavior towards the hosts, co-residents, classmates and all employees of did deutsch-institut as well as the
attentive treatment of equipment in our schools and residences should be regarded as a matter of course. In case of strong
violation of general rules, school and house rules or German laws did deutsch-institut reserves the right to terminate the
contract without notice. In the case of undisciplined behavior, violation of school or house rules as well as in case of
contravention (e.g. theft) participants or their legal guardians (in case of under aged participants) have to bear the full costs
caused by the discontinuation of the tuition, accommodation and early departure. Did deutsch-institut will not refund for
expenses in this case.
5.3 Damages | Security deposit
With conclusion of this contract the participant agrees to accept the did deutsch-institut school and house rules. The rules
determine that all participants treat the equipment of school and residence with due care. Any damage caused by intention or
negligence of participants will be charged to these participants. They are directly liable for damages towards the aggrieved
party. Participants have to furnish a security deposit of 50,- € if they register for a Residence Course and 100,- € if they opt for
an apartment. The deposit will be withheld only in case of damage. If the damage exceeds the security deposit, additional
compensation is charged. If there is no damage caused the deposit is paid back at the end of the course. If the deposit hadn’t
been transferred in advance, it will be collected at the students’ arrival.
5.4 Insurance
The applicable conditions are detailed on page 19.
5.5 Complaints
All complaints and afflictions of participants have to be reported to did deutsch-institut during the participants’ stay in Germany.
Only then it is possible to provide timely solutions of problems related to tuition, accommodation etc.
5.6 Liability
For any injury to a participant’s life, body or health, did deutschinstitut can only be held liable if this is due to the fault of did
deutsch-institut. For any damage or injury caused by a participant, the participant is directly and immediately liable towards
the aggrieved party. did deutsch-institut may have recourse in case of being held responsible for any damage or injury caused
by a participant. did deutsch-institut does not take responsibility or care responsibility for minor participants. A written

agreement signed by the parents or legal guardians (parental declaration) is required for the booking of all minor participants.
Did deutsch-institut is not liable for the loss or theft of any personal belongings of the participants.
5.7 Usage rights | Copyrights
did deutsch-institut allows its partners to use its logo as well as company owned graphics and photos in compliance with certain
terms of usage. You will find the terms and conditions for the use of these materials under www.did-agents.com.
5.8 Contract conclusion | Jurisdiction
Prices and scope of contractual services are binding according to the respective description in this Agents‘ Manual. However,
did deutsch-institut reserves the right to non-detrimental program changes and to revise calculation, printing and all translation
errors. A contract is deemed in effect as soon as the enrollment has been confirmed in writing by did deutsch-institut. Any
term or condition differing from what is written in this Agents’ Manual requires a confirmation in writing by did deutsch-institut
worldwide gmbh – registered office in Frankfurt am Main, Germany. did deutsch-institut is not liable for non-performance
of the contract in case of force majeure. Place and court of jurisdiction is Frankfurt am Main, Germany. German law applies.