Application Form Personal Information 111. Title [Ms, Mrs, other) Ms. Summer 2019 General Information 141. Company or Place of study 112. First Name(s} / Given Name(s} Karyna 142. Sector or Major 113. Last Name{s) / Sumame|{s} Shuliak 143. Job Title or Student Dentist 114. Father's First & Last Name(s} _ Fedor Chouliak 144, Religion Passport General 121. Date of Birth (o>/mm/yyyy) 146. Who recommended IVP? How did you find IVP? 122. Place of Birth | Ariane Rothschild 123. naiity(ies) United States of America 124. Passport # 125. Issued by (Country) USA 126. Valid From (DD/Mm/yyvy}_ 13/06/2018 147. What do you hope to gain from the course? The ability to hold salons in New York 127. Valid Until (DD/MM/YYYY}_ 12/06/2028 128. Schengen visa: bof don't need a visa O | have a valid visa O | will need an attestation for the visa Communication 131. Mobile # (including country code} | rc ses? O Yes ®&Nno jou already attended any Etiquette Which one(s} & Where? 133. Facebook 134. Twitter 149. Do you work for the medic |press, TV, ...) (e) Yes w No, which one? Mailing Address 151. Title Ms. Select to copy info from “Personal Information" Billing Address (if different from Mailing Address) -Title 152. First Name(s}/ Given name(s} Karyna . First Name(s)/ Given name{s) Shuliak 153. Last Name{s)/ Surname{s} 173. Last Narr (s]/ Sumame|s) 154. Company _ Company 155. Position . Position 156. Full Address 6100 Red Hook Quarters, suite B-3 176. Full Address St.Thomas, VI 00802 157. City, Zip Code, State 158. Country USA 7. City, Zip Code, State 178. Country 161. Direct Tel # (including country code 181. Direct Tel# (including country code) 182. E-mail or Fax # WD PDFfiller Document ID: 6305-0DB5-B336-0006 EFTA00521673

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" § Weeks starting June 16, 2019 Application Fee (Also for returning students} CHF 600.- CHF 600.- 3 Weeks starting June 16, 2019 (to July 5) Deposit CHF 1'200.- CHF 2'400.- CHF 2'400.- O 3 Weeks starting July 7, 2019 (to July 26) Remainder refunded 60 days after the course ends Sub Total 1 - Application Fee & Deposit Must be paid in full on application Core Course (28 weekly periods) O Core Couse without exams “aschoolfees —-=====S=S«((Waelypetiods) «Weeks Weeks ol: O Core Course with Higher Certificate tests & exams 2.1 Finishing Programs (taught in English) Diploma Course (36 weekly periods) Core Course OR Weekly 28) CHF 7'920.- CHF 15'840.- 88 Diploma Course without exams IEP Diploma Course (Weekly 34) CHF 9'570.- CHF 19'140.- O Diploma Course with Diploma tests & exams a 2 2.2 Extras Books for Higher Certificate / Diploma CHF 450.- CHF 450.- CHF 450.- IF On campus or Hotel Victoria “Resident Student” Exam Fees for Higher Certificate / Diploma _cHe1'200- _cHei00- | O Outside as a “Day student" - Please give us the address of Effective Communication 3 classes of 1n30 — CHF 480- CHF 960. ICHF 960.- _| where you will be staying. Oenology (3 classes of 1h30) CHF 480.- CHF 960.- ee Practical Housekeeping (3 classes of 1h30) CHF 360.- CHF 720.- Latin dance & trans; lation ‘3 classes of 1h30} CHF 180.- CHF 360.- ; sd Private French language 3 lessons of 1h30 CHF 660.- CHF 1'320.- | The Art of Personal Presentation (3 hours once only} CHF 480.- CHF 480.- CHF 480.- The nt according to the Financial Conditions on this Stress Release Made Eas: ivate class, hour * CHF 250.- * CHF 250.- ; Application Form can be done: Media trainin, ivate class, per hour, * CHF 360.- * CHF 360.- | sd ip traini i . . . . CHF 360.- of By Bank Transfer to UBS SA (Bank), 4) Avenue du Casino, Leadership trainin ivate class, per hour cael | ae 1820 Montreux, Switzerland. Beneficiary: Institut Villa Pierrefeu Oi tic Protocol (private Class, per hour] CHF 400-0 __* CHF 400.-__ | SA, Route de Caux 28, 1823 Glion, Switzerland by BIC /Swift: Chinese business etiquette (private class, per hour * CHF 360.- * CHF 360.- ; sid UBSWCHZHB0A or ABA 267 007 993 a/c N° 249-G5763255.0 rs IBAN: CH8! 0024 9249 G576 32550 Butler & Estate Mat (private class, per hour] _*CHF360- = CHF360-_ [CHF 720.- * More sessions possible on request 2.3 Accommodation On campus, Double / Triple room sharing bathroom CHF 2'200.- CHF 4'400.- On campus. Single room sharing bathroom CHF 2'880.- CHF 5'760.- 10/20/2018 f At Hotel Victoria, Single room with own bathroom CHF 4'340.- CHF 8'680.- CHF 8'680.- Karyna Shuliak Z 5 Sub Total 2 - Schools Fees (Program, Extras & Accommodation) ; 7 . CHF 31'510 WD PDFtiller Document ID: 6305-0DB5-8336-0006 !* (starting July) 12 D 2019-06-CS V 1.0 EN VN-pn Rev: 2018-09-24 EFTA00521674

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Application Form - Financial Conditions, etc Art. 1: GENERAL 1.1. Institut Villa Pierrefeu, S.A., Route de Caux 28, CH-1823 Gion (Switzertand) thereafter "the School". 1.2. The Summer Course is planned over 6 weeks and preference is given to students applying to study the complete course. Please note that students who can only come for a shorter stay will not cover all of the material mentioned in the curriculum. 1.3. The school may amend the program, content or location without notice. 1.4. Students must be over 18 years old to apply. Art. 2: DEFINITIONS 2.1. The Application Fee is not refundable. 2.2. The Deposit depends on length of stay. It is used to cover personal miscellaneous expenses such as: books and stationery, extra courses and private lessons, visa handling, cultural events, etc. Note: The School cannot advance money to the students so they should arrive with their pocket money and travel tickets. Each student has a personal safe in her room for her valuables. After the end of her sojourn, the student will receive a detailed bill for miscellaneous expenses, the total of which wil be deducted from the deposit and the balance refunded within 60 days of the student's departure. 2.3. School Fees: For “Resident students” the Schoo! fees include: the lessons for the chosen EP course, accommodation, breakfast and lunch Monday-Friday, the one Saturday full day excursion per 3 weeks, residence tax and contribution to the expenses for school facilities & infrastructure. For “Day students”: lessons for the chosen IEP course, lunch Monday to Friday, the one Saturday full day excursion per 3 weeks, contribution to the expenses for school facilities and infrastructure. Art.3: PAYMENTS 3.1. The "Application Fee" and the "Deposit" must be paid in full on application. 3.2. The “School Fees" must be paid by April 1 for June entry: May 1* for July entry. 3.3. Late payment: places that have not been reconfirmed by the payment of the full fees when due will be given to other candidates. 3.4. Credit Card payment will incur a surcharge of 3% - 6%. Art. 4: CANCELLATION AND REFUND 4.1. All cancellations must be confirmed by registered letter. 4.2. The “Application Fee" is refunded only if the applicant cannot be accepted. 4.2. If cancelled before April 1* for June, May 1° for July, a cancellation fee of CHF 1'000.— wil be charged. 4.3. If the letter is received after Apri 1° for June, May 1" for July, and a student cannot be replaced, a cancellation fee of CHF 2'000_-- per week, depending on the length of the stay booked, will be charged. 4.4. If the letter is received after Apri 1° for June, May 1" for July, anda student can be replaced by you, a total cancellation fee of CHF 1'S00.— will be deducted from the deposit and fees paid to date, the remaining sum will be refunded. 4.5. Once the student has started, she cannot cancel a reserved stay and only the balance of the deposit for miscellaneous expenses, if any, is refunded. 4.6. if a student is expelled or leaves before the end of her booked stay, only the balance of the deposit for miscellaneous expenses, if any, is refunded. 13 Summer 2019 47_We strongly advice that you take out travel and cancellation insurance. in case you have to amend your plans for any reason. Art. 5: REASONS FOR EXPULSION 5.1. Students will be expelled who: fail to comply with the rules and regulations, having received one warning {no warning is given for alcohol abuse, the possession, dealing or taking of drugs); persist with a negative attitude towards their studies, other students or staff; behave in such a way as to damage the School's reputation. Art. 6: ABSENCES 6.1. No reductions or refunds will be made to a student who is absent during the course; is unable to attend a class; or cannot participate in an excursion or activity included in the program, whatever the reason may be. Art. 7: NON-DISCLOSURE & PRIVACY 7.1. The students shall respect, protect and maintain the privacy and confidentiality of af Information relating to the other parties and shall not, during the period of this Agreement, or at any time after its termination, divulge any Information to any person without prior written authorization from the party involved. People working directly or indirectly for the media must inform the schoot by filling point 149 under “General information". 7.2. The student authorizes the School to use her image in any media form (picture, sound, video, ...) carefully selected by IVP for educational or promotional purposes (book, brochure, website, press. ...). Should you disagree, you must inform the Schoot in writing. Art. 8: INTELLECTUAL PROPERTY 8.1. All of Institut Villa Pierrefeu's own class materials and the training you are receiving are copyrighted and for personal use only. They cannot be used directly or indirectly for any commercial purposes {free or income generating - le. Educating, consulting. training, media, ... list is non exhaustive) without a prior written licensing agreement being signed by the Principal and the corresponding fees being paid. By breaking this rule, the student agrees to indemnify the School for the expenses incurred as a result. Art. 9: LAW AND JURISDICTION 9.1. If the fees have not been paid by the requested date, they are considered as a debt within the meaning of Art. 82 LP. 9.2. This agreement is made under Swiss legislation, and it is formally agreed that Swiss jurisdiction shall be applied whatever may be the residence of the student. Legal residence is elected in Switzerland, in the Canton of Vaud, and any difficulties which might arise from the present agreement would be submitted for decision to the local court in Montreux/Vevey. This contract is valid once the student's application has been accepted in writing by IVP. Art. 10: SIGNATURE 10.1. Place, date and signature of the student who declares that having carefully read and truthfully completed the “Application form”, the application documents (Bio, etc) and the financial conditions, she formally accepts them and will respect the School Rules and Regulations. Date, Student's Full Name & Signature 10/20/2018 USA f Karyna Shuliak ¢ Yo tap WD PDFfiller Document ID: 62 05-0085°5336-0006 Arriving at the School CHECK-IN & CAMPUS TOUR The check-in of the students and campus tour is on Sundays June 16 and July 7 from 10 am to 3 pm. Please plan to arrive at the schoo! during that time period. TRANSPORTATION From Geneva (GVA) Airport, Switzerland By private car: We can book a car for you at a rate of CHF 330.- to 360.- depending on the company. You should pay the driver in cash or by credit card (VISA and Mastercard are accepted). It takes 60-90 minutes to Montreux/Glion. In case you have reserved a car with us but don't use it, we will have to charge the initial amount plus VAT of 7.7%. By train: From the airport there are direct trains to Montreux (75 min.) Then take a taxi (5 min.} to Glion. When you want fo go from the school to Montreux, you can either use: The train (15 minutes), the cable car (7 minutes) or a taxi (5 minutes). D 2019-06-CS V 1.0 EN VN-pn Rev: 2018-09-24 EFTA00521675

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O 611. Smallpox BW 617. Hepatitis 8 10/21/2003 WW 612. diphtheria 05/24/2012 0X 418. Other Rubella, Measles, Mumps, §€ 613. Whooping cough 05/24/2012 614. Tetanus 05/24/2012 & 615. Poliomyelitis 10/25/1995 BW 416.8ccG 06/05/1989 621. Blood group and Rhesus factor (if known): $22. Any past illness, operations, serious accidents ? none Specify which one(s}: 623. Any physical or mental disabilities? None 624. Any known food allergies ?_ None 625. Are you vegetarian? _ no 626. Are there any foods you cannot eat [for medical or religious reasons)? _NO 627. Any other known allergies (medicines, etc)? NO 628. Any prescribed medicines or drugs? NO Full name and Signature of the student Date & Place 10/20/2018 A Glo USA Karyna Shuliak w Yes, |am covered for the length of my stay Note: Students who study in Switzerland for less than 3 months must be insured for ness and accidents and the insurance must be valid for the duration of their stay and cover them for expenses incurred in Switzerland. A credit card guarantee must be given in any case (below) so as to cover emergencies, as the hospitals generally demand a large deposit. By signing at the bottom of this page, | hereby authorise Institut Villa Pierrefeu S.A. (the school] to debit my card to cover medical and other related expenses that: lor (applicant's name:__ Karyna Shuliak (her) sojourn at the School. ) may incur during my | understand that hospital and medical bills can get to the school up to 9 weeks after departure. 631. Card: O Mastercard O visa j/ 2% amex O diners O scp 632. Card Number: 633. Card Expiration Date (mm/yy): 09/22 634, Cardholder's Name (as on card: Karyna Shuliak 635. Cardholder's Address: 9 East 71st St, New York, NY 10021 Date & Place 10/20/2018 USA Signature of the cardholder A Gle2g—_ WD PDFtiller Document ID: 6305-0DB5-8336-0006 14 D 2019-06-CS V 1.0 EN VN-pn Rev: 2018-09-24 EFTA00521676