Kainé& Halian Language © aA your Taaguage shave youre ENROLLMENT FORM Personal details (readable and complete) Sumame__ Sai XMMOF — Date of bint _23. 01. 1993. City and State of birth (zip-code included): First Name__ Mario 72240 Kakanj, Bosnia and Herzegovina ‘Foreign Home address (complete of State, city and zip-code) Klingelbachweg 11, 35394 Giessen (Germany) PrivateTel, _ +49 176 2056 7607 \WhatsApp number _Same as Private Tel. E-mail _Mario.sain@geschichte.uni-giessen.de CF (italian “codice fiscale”, ifyou got it) Profession _Master of History Science Mother tongue _Croati [Name of emergency contact_Denis juljanovié ta,_+49 176 8921 2425 E-mail _denis.julanovic@geschichte.uni-giessen.de Your Facebook 1d__Mario Sain How did you hear sbout Keine? AS the best language school in Rome, the Koine has been suggested fome by a fiend, Bosnian Franciscan, studying at Antoanium- ‘Type of Course aSuniard Course -=«Mlintensive Corse —«=—Wekly Course a summer School Online Ton [Corporate clases QCELUCILSIPLIDA preparion Sones -Ovelesons OSenntvdual Course Speaking Sesdoes "Lea alan by bike StdivdualCoune'* Tour Group CourserTour lialian cooking Couse ater Coarse fre Lessons iain forks GAfemoon Cases QEvering Cases Owen oe Starting date: 02./ 08,/- 2020, Ending date: 1 05./_ 2020, Place and date_GiesSer ® 7 Iw Mario Sain Phosnix Worldwide Contr Sas Piazza San Giovanni in Laterano, 48 ~ 00184 Roma Piva 14591831004 - REA RM-1533916 Tel, 39) 06. 96038365 emi: Ianguagecourses“ikoinecentre.com wwewekoinecentre com‘Accommodation Family: single room breakfast double room half oad @useofkitchen @Wi- fh Check —in_O1. 03.) 2020. Specific needs: Do you need transportation service? ‘Station Rome Termini Airport Rome Ciampino ‘Time and day of rival. Time and day of deparire Shared apartment: single room None [double room owen Check —out_Ot Airport Rome Fiumicino No HF Signature Mario Sain Piazza San Giovanni in Laterano. $8 ~00184 Roma eva 14591831004 - REA RM-1533916 “el. 39) 06, 96038365 emul: languageeoursesijkoinecente.com ‘wwuckoinesente-comFOR ALI.OUR STUDENTS -TO READ AND SIGN: Essential information and special requests: 1) Once students receive confirmation rom the School, they must pay the entre est ofthe eourse (and accommodation) at east three weeks (21 days) prior tothe start of the course. Students eannot enrol in the School unless they pay the fll price within this timeseale, Payments can be made using the following bank detail: Recipient: Phoenix Worldwide Center Sris BAN: 1T69A0832703244000000003231 Bank: BCC - Roma Ag. Pietralata ‘Address via dei Duran, 394 ‘SWIFT: ROMAITRRXXX 2) The School reserves the right to change the academic calendar at any time for organisational or technical purposes 3) Ifthe minimum numberof students does not enrol fr any given level, de School ean decide not wo run the course for tha level. 44) One of our qualified teachers will assess each stents level of Kalan by giving them a spoken and writen entrance test. Students ‘may not study at level othe than that prescribed for them by our teachers 5) Students must request enrolment certifieaes detailed invoices o oer types of documents athe beginning ofthe cours, o tthe ‘ery latest by the end ofthe course. Such documents will not be provide if hey are requested in the months or years ollawing the study period in question, (6) Students are responsible for paying any commissions charged for bank transfers. Koiné doesnot pay bank commissions. ‘7)f paying by PayPal, please send payments othe fllowing addres: phoenixweenter@gmai.com. PayPal fees are athe expense ofthe student. 48) Students wishing to continue studying atthe next level (on the course running the following month) must make the relative ‘payment by the Wednesday ofthe last week of the ongoing course. Should they fil odo so, they will not be guaranteed a place on {he coureellevel oftheir choice '9) Payment for home, online, workplace or corporate courses must be made in advance by bank transfer, PayPal or in cash 10) Cancellations must be communicated to the School by recorded delivery, fax or email. Should cancellations be made before 30, days prior to the start ofthe course, students will receive a 50% refund. In the event of cancellations made afer 30 days prioe vo the beginning of the course, or once the couse has started (including on the fist day), students will receive no refund whatsoever. lowever, the money paid can be used for future enrolments within the same Year. 11) Cancellation of online, home of workplace lessons must be communicated to the School by mal or telephone 24 hous prior to the start of lessons, oherwise students must pay the instalment in fal. 12) Students cancelling accommodation will only be refunded 30% of the total amount pad to book the room or apartment. 13) Students following the intensive group courses can reschedule upto two lessons. They can only do this if they inform the school ‘of ther intended absence at last 24 hours before the start ofthe lesson, Should students inform the school any ater than this they ‘ill not be permitted to recover the lesson, 14) For other questions please refer tothe document, “Student Terms and Conditions”. Stadents are given this document by the ‘School on enrolment and requgyd to declare that they have read and accepted its contents Signed Gn YX Thereby dare that vege he tached information in sezordance with he relative European law in fere(a 13 BGPR 6792016) ‘Signed i 3 thereby consent tothe potenti publication of phographs andor videos taken of me by Koint~Ilin Langunge Cente onthe Itret “Sst medic This consent does ot xen othe we of plop comet tha re detent omy personal ig wd hour efor ‘ny purposes other tan thoes described above 1 lo declare hat no mone sowed tome because ofthis consent and relinquish any right, Clams action tat could agi rm the aes consent. sies A 5 pas Thereby declare ta ye read and lly accepted te tems set out in clauses 1.23.4, signee Ho i— x eye terval tr activyand evens Signed, HX Thereby consent tay WhatsApp number to group "Kin Communi” an auhoriz to send me messges by Whats Ap, sires [er Ve Phoenix Worldwide Center Sis Piazza San Giovanol in Laterano, 48 ~ 00184 Roma va H4S91831004 - REA RM-1535916 ‘Tel, (39) 06, 96038365 email: anguagecourses akoinecentre.com ‘wowkoinecenre.com[REMINDER FOR VISA APPLICANTS ONLY: For student visa applications: = Complete and sign the Koiné enrolment form. = Pay the course fein fll by bank ansfr, PayPal orn cash + depp tw ton cde wean ed your Exot Certs (eat cheng your vis ‘Should the ltalian Embassy reject your visa application, you willbe entitled to @ 90% refund of the amount pad, minus the {ellowing expenses: €45 membership fe and €150 adminisratve expenses. Stadens ae reminded that bak commissions ae st their own expense, Placeldate Signed, Phosnix Worldwide Center Ss Piazza San Giovanni in Laterano, 48—00184 Roma eva 14591831004 - REA RM-1S33916 “Tel. (+39) 06, 96038365 email: languagecourses@koinecentre com ‘wow koinecentre.comSTUDENT TERMS AND CONDITIONS 1) The following documents are required of students wishin to enrl on our courses + completed and signed enrolment frm; = acopy of your ID card or passport; = two passportsized photos: + your reeipt of payment, + eter from your host family (for au-pairs) or your university card (fr students allending alan universities). Stdents ‘cannot benefit fom our special offers without these documents, which must be provided before payment is made. 2) Payment must be made in advance, before the start ofthe course. For payments by installment (authorised by Koiné ‘management, students must pay the couse fein fll no later than two days after the start of the course. '3) Students wishing to continue studying at the next level (on the course running the following month) must make the relative ‘payment bythe Wednesday of the last week ofthe ongoing course. Should they fal toda s, they will not be guaraiced a place on the course/level oftheir choice. 4) Students must arrive atthe School on time and sign in at reception. then proceed to class. '5) Students may arrive atthe school up to fifteen minutes lat. If students ave more than fifteen minutes lat, they shall not be allowed to enter the classroom and disrupt the lesson. They can enter the classroom after the coffe break. Teachers of ‘one-to-one lessons will wait no longer than fifteen minutes for students, and lateness will not be recovered. After fifteen ‘minutes, dhe teacher shall leave the class and the lesson will be canceled without recovery. The latest entrance time for evening courses is 19:30 Latecomers wil ot be admit. 6) Students following group courses may recover two missed or cancelled lessons. The lessons willbe recovered in the group ‘course that runs inthe following month Students are required to inform the Schoo! at last 24 hours befor the tart ofthe lesson. This is a mandatory condition for rescheduling lessons. Should students filo inform the school or inform it any later than this, they will not be permitied to reschedule the lesson. 7) Cancellation of one-to-one, home student, corporate or online courses must be communicated tothe School atleast 24 hours before the stat ofthe lesson, otherwise lestons will be considered a staught and may not be rescheduled. Students ‘must inform the office: communication between teachers and students will not be accepted. For weekend cancellations, students are required to make the cancellation by 17.00 Friday for lessons scheduled on the following Monday. Late cancellations communicated over the weekend will nt be accepted (the Schoo! is closed on Saturdays and Sundays). '8) Group courses cannot be postponed, but itis possible to postpone one-to-one lessons. In such cases, students must ‘complete their leaning program within tree months of the start date. 9) Refund policy: should cancellations be made before 30 days prior to the start of the course, students will recsive a 50% refund. Inthe event of cancellations made aftr 30 days prior tothe beginning of the course, or once the course has started (including on the fist day), students will receive no refund whatsoever. However, the money pad can be used for future enrolments within the same yea. 10) The use of mobile phones, tablets or music players is prohibited during lessons. They may only be used before or after lessons or during coffee breaks. 11) Students must not answer telephone calls during lessons. 12) Unless urgent, students may not leave the class during lessons. 1) Stadents may not take out School materials (stationary, books, DVDs, ec.) with previously informing the office staff 14) Students are required to pay a membership fe of €45 when they enrol. This is a one-oft fee and is valid for the year in 15) All students will recive a Student Card on enrolment This card provides acess to the following services and benefits: ~~ earning materials; = final exam; = attendance certificate (only fr those who pass the final exam); = loan of earning materials (books, magazines, DVDs, CDs, et) in accordance with the School's terms and conditions. discounts and special terms for cultural events and activites with Koiné~ Taian Language Centre; = discounts and special terms for selected bars, restaurants and shops (Se attached the ist of discounted prices); 16) Students will sia final exam on the las day ofthe couse and can request the exam results andthe attendance certificate ‘within a month of siting the exam, Only students who have sat the final exam will be elegible to receive an attendance cxnifcae 17) Students wishing o take out learning materials (books, magazines, DVDss, CDs, etc.) on loan may choose fom the list of ‘materials provided by the office staff on request. 18) The enrollment renewal is valid by showing the Koiné Card and let the administration officer change the starting and ener tna ea Fe Phoenix Worldwide Center Sas Piazza San Giovanni in Lateran, 48 ~00184 Roma va 14591831004 - REA RM-1533916 ‘Tel. ($39) 06, 96038365 email: languagecourses@koinecentre.com ‘woritkoinesente.com19) Materials (books, magazines, DVDss, CDs, etc.) taken out on loan must be retumed to the School under the following terms and conditions: + DVDs and CDs: within two days + Books and magazines: within two weeks 20) Coffe bresks will last 15 minutes. 21) ‘Students must not liter the classroom blackboard, walls, chairs or floor with pens, pencils, paper, food, ete 22) ‘Student must nt eat inside the School or inthe building's communal areas. 23) Photocopying for personal use isnot permed. 24) Please do not move the chairs or tables in the clases, Students must eave chairs and tables in ther proper places atthe end ofeach class. 25) We share our courtyard and stairs with ther residents. To avoid disturbance, students ae kindly asked to refrain from spending time in these common areas if students wish to go outside during break time, they must leave the building. 26) Students must ensure tha the lift doors are closed before enteringeaving the Schoo. 21) The School opens at 09:20 and the main entrance wil remain closed unl this time, 28) {If students are unable to attend lessons, they are kindly asked to inform the School. This will make organisation easier. 28) Ceritieates, invoies and other documents must be requested a the enrolment stage and collected atthe end ofthe course. ‘Requests made inthe months and years following courses wil not be accepted, Thave read and accept the ferms and conditions herein, ‘Signed Phosaix Worldwide Center S15 Piazea San Giovanni Lateran, 4800184 Roma Piva 14591831003 - REA RM-1533916 Tel, (39) 06. 96038365 email: anguagecourses@koinccenire com ‘wwrckoinecenze.comKo Italian Language Centre t to art, 13-14, EU Reg 2016/679 ig personal data protection) inform you the EU Reg. UE 2016/679 ("European Regulation regarding personal data protection) provides for safeguarding people and other subjects and respect for personal data treatment. Pursuant to art. 13 and 14, we therefore supply the following information: Holder identification detai The treatment holder is i wanni. 48 Roma; Tel, 0696038365, represented by its lawyer 1.Aims and legal basis of the treatment your data is supplied for ‘Treatment of the personal data you supplied is for: = Enrolment in courses of interest. = Explication of compulsory administrative, accounting and tax compliances relating to your enrolment in and attendance of our study paths; Information and updating relating to our services and events we promote, including by newsletter (direct marketing), as provided for by our client loyalty policy, hence his explicit consent is not needed as per clause 47 of DGPR 679/2016 2. Treatment methods In relation to the indicated aims, your data is subject to computer and paper treatment. Treatment operations are performed so as to guarantee logical, physical security and the confidentiality of your personal data. 3. Legitimate interest pursued by the treatment holder or third parties The treatment holder will treat your data to bring about his specific requests, in the legitimate, reciprocal interest of opening the elapsing contractual obligations, and so as not to fall short ofthe obligations provided for by tax laws, in our legitimate interest in client loyalty. 4, Nature of personal data ‘Your personal data, including the performance of services you require, constitute subject of treatment. Should it be necessary, during service completion, to acquire and carry out operations to treat your sensitive and legal data, you will be asked to express related consent in writing. 5. Compulsory and optional nature of supply Supplying your personal data is compulsory by nature, as necessary to fulfill your requests and the provisions of tax law, and possible refusal could make it impossible or extremely difficult to carry out the services you require. 6. Field of data communication and spread Your data may be communicated for the aims as per point | to all subjects whose right to access this dat recognised pursuant to regulatory measures; to our collaborators, employees, in the field of related tasks to all physical and/or legal, public and/or private people when communication appears necessary or functional for carrying out our activities and in the ways and for the purposes illustrated above; Phoenix Worldwide Center Sis Piazza San Giovanni in Laterao, 48 ~00184 Roma Iva 14591831004 - REA RM-1533916 ‘Tel. (139) 06, 96038365 email: languagecourses@koineventre.com ‘won koinecentr.com7. Personal data conservation methods and duration ‘Your data will be conserved as long as is necessary for fulfilling the legal obligations reasonably identified in 10 years. Your data gathered for the aims as per art. 1, point 1, will be eliminated within 6 months of the selection that went badly. 8. Subject rights 8.1 Art. 15 (access right), 16 (reetifying right) of EU Reg. 2016/679 Conforming to and with recourse to the conditions provided for by art. 15,16,17,18, and 20, you have the right to obtain confirmation of possible ongoing treatment of personal data regarding you, the existence of automated decision making, including profiling, and obtain access to personal data, ask for its rectification, limitation, deletion and portability. You also have the right to set out a complaint atthe controlling authorities. ‘You are granted the option of revoking consent, when expressed on your personal data treatment, sending registered post to this address: Supported by a photocopy of your ID, with this text: <>. After this operation, your personal data will be removed from the archive as soon as possible, Ifyou would like further information on your personal data treatment, or exercise rights as per above point 7, ‘you may send registered post to this address: PHOENIX WORLDWIDE CENTER SRLS Piazza San ‘Giovanni in Laterano, 48 Roma Before we can supply or modify any information, it may be necessary to check your identity or answer some questions. Reply will follow as soon as possible. Rome, +. cee ‘Signed for copy view and copy receipt Jf — Mato Sain Phosnin Worldwide Cenier Ss Piazza San Giovanni in Lateran, 48 ~00184 Roma Iva L4S9183100$ - REA RM-1533916 Tel. (39) 06, 96038365 email: languagecourses@koinecente com “wnwkoinecente com