Printable Application for Enrolment, Course Registration & Assessment for Postal Courses
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For which course are you applying? please circle or highlight one of the following
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| I would like to start in: | ____________ month |
| Title | __________ |
| First name(s) | ____________________________________ |
| Family name | ____________________________________ |
| Telephone | ____________________________________ |
| ____________________________________ | |
| Address, line 1 | ________________________________________________ |
| Address, line 2 | ________________________________________________ |
| Town/City | ____________________________________ |
| County/State | ________________________ |
| Country | ________________________ Post/Zip code ____________ |
| Mother tongue | ________________________ |
| Nationality | ________________________ Date of birth ____________ |
| Occupation | ____________________________________ |
| Highest qualification | ____________________________________ |
| Awarding body & date | ________________________________________________ |
| Payment method
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 Paypal (credit/debit card)
Bank transfer
Cheque
If paying by credit/debit card we will e-mail you a Paypal request for the amount due. |
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Do you wish to pay in full, taking advantage of the 10% discount, or pay by interest free instalments? please circle or highlight one (Payment in full or initial payment is due when enrolling.) If paying by instalments you will receive an invoice with amounts and dates due for subsequent payments in your first postal pack. | |
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Any special offers currently available will be automatically deducted from the payment in full fee listed. Please contact us with any queries you may have. | |
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In submitting this form I confirm that to the best of my knowledge the information given on this form is true and correct. I have read and understood the conditions set out under Conditions and Refunds and agree to abide by them.
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Signature Date |
_____________________________ ____________ |