D1 Course Application

D1 PCV Course Application

Initial Driver CPC

YESNO

Please use the link below for guidence

Initial Driver CPC Information

Delegate Name

Delegate Full Name:*

Organisation Information

Organisation Name (if no organisation please put your full name)*

Address*

Post Code*

Contact Name*

Phone Number*

Email Address*

Invoice Address (if different from above)

Post Code

Purchase Order*

(if required)

Terms of Business

Payment Terms

New clients (PIA): full payment to be made 14 days prior to course start date.

Existing clients (Net 10): full payment to be made 10 days after invoice date.

Late payments charged at 8% plus the Bank of England base rate.

Cancellation

PLEASE NOTE: Course fees will NOT be refunded for any booking altered or cancelled by the client within 7 working days prior to the course start date.

Please tick this box to confirm that you have read and understood the following: The personal nformation provided may be used for education and training purposes, to check current motoring offences and entitlement to drive, and to book medical assessments and driving examinations where appropriate. Please note that failure to provide certain information may affect your ability to undertake the course. Your data is processed in accordance with GDPR (General Data Protection Regulations 25th May 2018). Some information will be shared with your employer if your employer is paying for this course. If you do not wish to share this information, please email info@trssl.co.uk.

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