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Company and/or
Personal Information
'*' denotes mandatory field, meaning the form
will not submit without this essential information
NOTE: due
to high demand, we require payment and completed booking form before places on the course are secured.
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First Name*
Last Name*
Company Name* Add n/a if private individual
Company
Address* Add n/a if private individual
County
Home Address*
County
Phone Number
Mobile Number*International Format (e.g 353712346789)
Email Address*
PPS Number* Add n/a if not known
Date of
Birth*dd/mm/yyy (e.g 02/05/1977)
Occupation*
Experience/Qualifications*
(Please provide
basic summary of relevant experience)
Special
Requirements
Choose a
Course*
How did
you hear about us?*
Please make your cheque payable to Chevron Training. and send to Chevron Training., Enniscorthy
Enterprise Centre, Enniscorthy, Co. Wexford
You will be directed to our secure online payment page to submit your card details
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Note
This
course requires specific qualifications before your booking can be accepted.
Evidence of your qualifications must be supplied after you have received your booking
confirmation email, quoting the booking reference detailed in the email.
Note
If you
are a company and need to register several individuals at once please download our
GROUP APPLICATION FORM
fill
in and return by email to onlinesubmission@chevrontraining.ie
Note - terms
and conditions
Under
no circumstance will Chevron Training be liable for any cost, whether incurred directly or indirectly,
caused as a result of any cancellation or change of course venue or date. In the event that Chevron
Training need to change the time, venue or date of a course, we will contact all registered learners
as soon as possible in advance.
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