COURSE REGISTRATION FORM - JotForm

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  • COURSE REGISTRATION COURSE REGISTRATION
  • Name* First NameLast Name
  • Date of Birth* DayMonthYear
  • Gender* Male Female N/A
  • Your Address * Street Address Street Address Line 2 City Post code
  • Email* [email protected]
  • Mobile Phone Number* Phone Number
  • Do you have a previous City and Guilds Certificate Number If so we can register you with the same number to keep consistency
  • Do you have current Electrical Skills/Knowledge/Training / Qualifications Please identify your current skills, Qualifications, Knowledge or experience
  • C&G Electrical Installation Courses I would like to undertake (Tick all that apply)* NEW C&G2382-22 18th Edition Wiring Regulations Amd 2 Brown book Full courseC&G2391-50 Inspection and Testing Initial VerificationC&G2391-51 Inspection and Testing Periodic InspectionC&G2391-52 Inspection and Testing Initial Verification & PeriodicNEW C&G2921-31 EV Design and Installation of Domestic and Small Commercial Electric Vehicle Charging InstallationsC&G2365-02 Diploma in Electrical Installation Level 2C&G2365-03 Diploma in Electrical Installation Level 3C&G2346-03 Level 3 EXPERIENCED WORKER NVQ Route with 5 years + experience to gain the JIB Gold cardC&G 2357 Electrical Installation NVQC&G2357-91 NVQ pathway from C&G8202 QualificationsC&G2357-44 NVQ pathway from C&G2365 Electrical Installation or MaintenanceC&G2357-34 NVQ pathway from C&G2330 Electrical Installation or maintenanceNEED ADVICE AND GUIDANCE ASK WHICH COURSE IS BEST FOR YOU!Other 
  • Did you receive extra time in exams at school or college? If you did then proof may be required by C&G if extra time is allowed
  • Do you have one of the following? Dyslexia Dyscalculia. Dyspraxia.   If so in order to get extra time in exams C&G may require proof
  • Do you have any medical or physical problem which would affect you completing practical assessments or taking exams on a computer ?     Or might affect you accessing the first floor or a task board with Electrical tools
  • Date submitted* DayMonthYear
  • Signature * ClearGDPR I agree for the purpose of undertaking the course/ training applied for the company and Awarding Organisation can store relevant information and assessments as required for a period of 3 years:
  • Please Select what you would like us to do for you: Would you like us send you an invoice for the selected coursesOr would you like us to send you further information on the courses
  • Please verify that you are human*
  • SaveSubmit
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