Facsimile Transmission

To: Ms Xxxxxxx Xxxxxx,
    Director, International Education
    Northern Lights College
Fax: +1-250-785-1294
From: Xxxxx XXXX
Fax: +81-xxx-xx-xxxx
Subject: Application for Admission (ESL)
Date: 18/Nov/2000
Pages: 1 (this page only)
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Dear Ms Xxxxxxx Xxxxxx,

Thank you very much for your quick reply to my inquiery e-mail some days ago.

I would like to attend your English as a Second Language program starting from April 2001.
This is the application for admission.

Program of study: English as a Second Language

Family Name: XXXX
Given Name: XXXXX

E-mail address: xxx@xxx.xx.jp
Fax number: +81(Japan)-xxx-xx-xxxx
Mailing address: x-xx-xx Xxxxxxx
                 Xxxx-shi, Xxxxxx-ken
                 xxx-xxxx Japan
Nationality: Japan
Native Language: Japanese
Sex: Xxxxx
Date of birth: xx/Xxx/19xx

I want to start ESL classes in: April 2001
          finish my studies in: July 2001

Last university I attended: Xxxxxx University (Xxxxx, Japan)
Estimation of my English ability: Limited


I will pay the $100.00 (Canadian dollar) application fee by my VISA card.

Card No: xxxx xxxx xxxx xxxx
Expiration date: xx/xx (Xxxx 20xx)
Name of the card holder: Xxxxx XXXX

Signature: (Signature)

Would you please send me a copy of your 'Letter of Acceptance' by fax as well as by mail so that I can start
applying for the Student Authorization as soon as possible.

Sincerely,

Xxxxx XXXX.