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Participant details
Title*
First name*
Last name*
Job title
Home Address
Email*
Tel. No.*
Street Address
City
Postal Code
Personal Information
Gender
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Do you have a disability or special need?*
Please indicate any special requirements
Company details
Company name
Company Address
Street Address
City
Postal Code
Company Information
Number of employees
Booking contact
Position
Tel. No.
Industry sector
Course details
Courses*
Course Start date
Practical Assigment
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Course name
Course dates
Price
How did you find out about the course?
Payments Details
(please see Terms & Conditions)
Payment
PO details
Invoice address details IF different from company address
Street Address
City
Postal Code
Data Protection
I understand that the information I have provided will be retained by the University of Bedfordshire and used for its business purposes and passed to external bodies only in accordance with the University’s statutory and legal obligations and in accordance with the principles of the Data Protection Act 2018 and the General Data Protection Regulations (GDPR) Please complete the following to confirm your booking*
Please complete the following to confirm your booking*
- I have read and accept the terms and conditions of this booking. Please read the T&Cs alongside the Data Protection Policy
*
- If the course dates are within 14 days of completing this booking form I agree to the ‘services’ starting on the course start date. I understand this means I may be liable for some costs if I then change my mind and cancel the booking - please see over for more detail
*
- I declare that the details given on this form are true to the best of my knowledge.
Authorised signatory
Name*
Position*
Date*
Validation
Current Date
Date Format: DD dash MM dash YYYY
Current Year
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Do you need help with your registration? Please feel free to contact us at 020 3608 3527

Participant details

Home Address

Personal Information

Company details

Company Address

Company Information

Course details

Payments Details

Invoice address details IF different from company address

Data Protection

Authorised signatory

Validation

Need help?