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Course attending (Change course)
2/3/2022 - 4/3/2022
30/5/2022 - 1/6/2022
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Split weeks (only relevant for selected courses of more than 7 days duration)
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Please tell us how you found Firebrand Training.
Who was your contact at Firebrand Training?*
Please indicate your contact at Firebrand Training.
If you were referred by a Firebrand Training student, please enter their name
Where applicable, this is where your pre-reading material will be sent. If you are self-funding, this is also who the invoice will be made out to.
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Region / County
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This is where the course invoice will be sent and details who will be paying the course fees. If your course is self-funded you may leave this section blank.
Use student information from above
Please put your company’s name or your funding source
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Company address 1*
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Company address 2
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Please indicate the country of the billing address
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Please specify any food allergies or special needs
What is your prefered testing language, other than English?
The following information helps us prepare for your attendance at the course. The more you share with us the better we can prepare, however please try and be concise.
What is your current job title?*
Please enter your job title or function.
Please describe your current role*
Please give us some idea about what is involved with your current role.
Either the URL of your LinkedIn profile or please describe your career background*
Please give us some idea of your career background
Have you taken any preparation courses toward the certification you are pursuing with Firebrand Training?
Please tell us about any qualifications you may have, like a Degree or an IT qualification
Please describe your technical strengths in relation to the course you are pursuing
Please describe your technical weaknesses in relation to the course you are pursuing
Will additional nights of lodging be required? If so please specify dates
Please indicate whether or not you will be travelling to your course by train
How are you paying for the course?*
Please select a payment methodCompany POCredit Card / Debit CardCheque/BACS/Wire/Electronic TransferLoan
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Course price (in Euros €, excluding VAT)*
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BACS / Wire / Electronic transferBankers draftCompany chequePersonal cheque
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Bank loanCareer Development LoanGovernment grantOther loan
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Date application faxed/completed
Company purchase order number / contact person*
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