APPLICATION FORM
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Private Institute of Law
First Name *
Surname *
ID Number/ Passport Number   *
Address *
Telephone Number (Mobile) *
Email address *
Select course for which you wish to register
*
Required
Professional Experience
Do you work in a law related field? *
If yes for how many years ?
If no where do you work?
Academic experience
(please tick where relevant)
*
Required
*
I hereby confirm that by selecting 'I agree', I wish to apply for the above- named course and that I wish for the Private Institute of Law to contact me by email/phone. I agree that my place on the chosen course will not be confirmed until I have paid the required deposit. Once I have paid the deposit I agree that I will be responsible for attendance on the confirmed start date at The Private Institute of Law and for payment of the course fee in accordance with the payment schedule outlined to me by The Private Institute of Law.
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