Bali International Spa Academy B,1SA 57A JaIon Sekuta Sonur - Bali Indonesia 80228 Office Balt laternalkonal Spa Atadetti) E-mail: Web: www.bolibiso.com : +62 361 281 289 Mobile : +62 811 3800 301 STUDENT REGISTRATION FORM First Name : Lost Nome : Start Date : End Date : Date of Birth : Passport No : Email : Skype ID : Country: Phone No : Address: Level of Experience: 0 Novice ❑ Practicing Therapist n Management 00thers Do you require accommodation : 0 Yes 0 No, If yes what is your budget Do you require airport pickup service : 0 Yes piNo Do you require visa assistance : E Yes E No TERMS AND CONDITIONS OF PAYMENT I Payment of Fees Full payment to be made 30 days prior to course commencement or 50% deposit can be paid 60 days prior to course commencement. Balance on day of arrival at School. 2 Cancellation Policy No refund for any cancellation 3 Postponement of Course Postponement of a confirmed course date due to illness is permitted. All requests of postponement PRIOR TO COMMENCEMENT of course must be made in writing to Bali BISA. Approval for Postponement is at the sole discretion of the Institute. 4 Transfer Policy Courses cannot be transferred to another person 5 Student Confirmed On Receiving Registration form and Course Fees. The student is added to the Training Register. 6 No Cancellation Fees Apply once point 5 has been completed. Note: Please prepare passport photo size 3x4 f2 for Bali BISA documents, another photo for the certificate based on the number of courses taken). I acknowledge that I understand I am entering into a binding agreement with Ball International Spa Academy. Name: Date : For Office Use Only Invoice Sent Invoice Paid In Schedule Registration No EFTA00788100