Online Registration Form
An asterisk (*) indicates information must be supplied for the form to be accepted.
An asterisk (*) indicates information must be supplied for the form to be accepted.
Personal Information
Gender *
-- Gender --
Male
Female
Other
First Name *
Family/Surname/Last Name *
Nationality
(as per Passport)
*
-- Country --
Afghanistan
Albania
Algeria
U.S. Virgin Islands
Andorra
Angola
Argentina
Armenia
Aruba
Ascension
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Diego Garcia
Djibouti
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland (Malvinas) Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guadeloupe
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Inmarsat Satellite
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Japan
Jordan
Russian Federation
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Reunion
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue Island
North Korea
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Rwanda
Saint Helena
Saint Pierre and Miquelon
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Passport Number*
Date of birth*
Contact Information
Postal Address *
Country:
-- Country --
Afghanistan
Albania
Algeria
U.S. Virgin Islands
Andorra
Angola
Argentina
Armenia
Aruba
Ascension
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Diego Garcia
Djibouti
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland (Malvinas) Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guadeloupe
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Inmarsat Satellite
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Japan
Jordan
Russian Federation
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Reunion
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue Island
North Korea
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Rwanda
Saint Helena
Saint Pierre and Miquelon
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Email*
Mobile Number
WhatsApp
Skype
Course Information
School *
Select School
English Language
Course *
Language
English
Spanish
French
German
Italian
Portuguese (Brazil)
Mandarin (Chinese)
Level
Beginner
Elementary
Pre Intermediate
Intermediate
Upper Intermediate
Advanced
Course Mode
Full Time
Part Time
Weeks
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Course Start Date
Course Finish Date
Type
-- Type --
New
First Renew
Second/Last Renew
Timings
Morning - 09:15am to 12:30pm
Afternoon - 01:45am to 05:00pm
Further Information
GNIB expiry date
GNIB renewal date
Do you have any medical condition?
Do you have any criminal record in any country?
How did you hear about Liffey College?
Preferred Language
-- Select Language --
English
Spanish
Portuguese
GNIB/IRP Card (If Applicable)
Passport
Qualification form
Sales Person E-mail Address
IMPORTANT NOTE
Please attach a copy of your PASSPORT and VOUCHER
(if any)
with this form.
The fees paid is strictly NON REFUNDABLE once confirmed
(for more details read Fee Refund Policy)
.
I understand that Liffey College reserves the right to CHANGE TIMINGS & DAYS of CLASSES at any stage as deemed necessary.
ACCOMMODATION, CLASSES & other SERVICES are subject to availability and demand.
You may be required to submit additional information on your personal, financial and/or educational if deemed appropriate by the Liffey College.
IMPORTANT TERMS AND CONDITIONS (please tick the boxes): DECLARATION:
The information that I have given and is contained in this form is true and correct.
I will observe the conditions of my student visa at all times.
I will attend the course in which I have enrolled (at least 15 hours per week over 25 weeks).
I will sit my course tests & final examination/s whenever they are scheduled, otherwise I may be expelled or other sanctions may be taken against me as deemed necessary by the college.
I will not enter employment in the State unless I qualify for the concession to engage in any casual employment.
Should I need to leave the state for any period of time, I will apply to the Department of Foreign Affairs for a Re--Entry Visa before I leave the State (if applicable).
All documentation that I have submitted with my application is authentic and does not contain any false information. Where any document is not in English I have included a notarised translation.
I understand that Liffey College reserves the right to refuse or cancel a student’s application anytime without giving any reason.
I understand that Liffey College may be obliged to inform INIS/GNIB or any other authorities about my attendance record at any stage. I understand that students are expected to satisfy 85% class attendance as required by the Dept: of Justice. Students, with less than 25% attendance in the first 6 weeks will be expelled by the college with out giving the chance of receiving warnings and/or appeal and INIS/GNIB will be informed of their expulsion.
Students who cannot make it back to 85% by the end of their course will be expelled and INIS/GNIB or any other authorities will be informed of their expulsion.
This information is gathered for administrative purposes only and by signing this form you consent to give us this information.
1. The COURSE FEES paid is STRICTLY NOT REFUNDABLE except the following conditions: FULL-TIME STUDENTS
• In the circumstance that international student is refused either an entry visa or a student visa in Ireland.
• If the course for which the student has paid is cancelled by Liffey College with no other alternatives available.
• Please Note: If a course fee is refunded, €300 (college registration fee) of the total course fee paid will be deducted. Considering that choosing the correct programme of study is an important step, Liffey College assumes that a student would have made a thoughtful decision prior to applying for the course. No refund is granted for students who withdraw from a programme (prior to/shortly post commencement or during the programme). If a student has already started/completed part of their course at the time of the refund, the refund will be calculated pro rata. If a student changes their course dates after registration, a change fee of €300 applies.
Part-Time STUDENTS
• If the course for which the student has paid is cancelled by Liffey College with no other alternatives available. (Part time fees refund include total fees paid in terms of course fee and registration fee)
2. Where a course is cancelled by Liffey College:
• Students will be transferred to similar courses (if available at Liffey College) at equivalent level within the same discipline.
• Arrangements will be made with other institutions to provide the same or similar courses at equivalent level within the same discipline and/or the fee protection policies' terms and conditions apply. Please Note: OTHER NON-REFUNDABLE fees that ARE CHARGED AS EXTRAS include medical and fee protection insurance policies , examination and/or registrations, accommodation, books, hand-outs, etc. • The fee refund procedure takes approximately FOUR WEEKS (20 Working Days) for more details please see the website.
I understand that Liffey College is obliged to inform the Department of Justice of any refunds made.
I understand that Liffey College reserves THE RIGHT TO CHANGE THE TERMS AND CONDITIONS at any time and I undertake to observe any new or altered terms and conditions (for example class timings, date and days).
I understand that I am also bound by the regulations of Liffey College as documented in the Student Handbook and/or College’s Website.