Training Course Registration Form

Title

Forename

Middle Name

Surname

Date of Birth

Town of Birth

Country of Birth

Gender

Phone Number

Address

UK Address Line

Town/City

Postcode

Country

Company Name

Course Name

Renewal or First Card

Renewal

First Card

ADR expiry date

Exam

Online

In-person

Exam

Online

In-person

Course fee: £60.00+ exam fee

Course fee: £175.00+ exam fee

Course and Exam £485.00+VAT

Starting From £85+VAT

Starting From £450+VAT

Starting From £850+VAT & Exam

Starting From £725+VAT & Exam

Starting From £650+VAT & Exam

Starting From £800+VAT

Starting From £1500+VAT

Starting From £750+VAT

Starting From £1495+VAT

Starting From £350.00+VAT

Starting From £350+VAT

It should be £60+VAT per Day

It should be £550 + Exam Fee (£50) + VAT 3 Days

Starting from £450 +exam fee+ VAT

Number of Days Required

Driving Licence Number

Do you already have a driver DQC/CPC?

Yes

DQC/CPC Expiry Date

Please call the office at 01332323989

Starting From £1495+VAT

Starting From £350+VAT

Candidate nationality

How did you hear about us?

Does the candidate have any special requirements or disabilities?

Yes

Please explain:

(see codes below)

Special needs	Code
Sight	S
Hearing	H
Learning	L
Mobility	M
Other	S
Candidate prefers no statement	O