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CILEX CPQ Foundation Level - Enrolment form
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* Indicates required question
Title
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
Postcode
*
Your answer
Telephone Number
*
Your answer
E-mail
*
Your answer
Date of Birth
*
MM
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DD
/
YYYY
Gender
*
Male
Female
Prefer not to say
Do you consider yourself to have any learning difficulties, health problems or long-term disability?
*
Yes
No
Prefer not to say
If you selected yes to the above question, please describe your
learning difficulties, health problems or long-term disability (this is optional and the information is only used to help us to better cater to your needs)
Your answer
Where did you find our course?
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Google
CILEX website
Government Website
Through your employer
Recommended to you
Linkedin
Instagram
Facebook
TikTok
Current Occupation
*
Your answer
Please list your existing qualifications in the box below:
*
Your answer
In your own words, please write a short paragraph in no less than 50 (max of 200) words why you wish to complete this course
*
Your answer
Should the course invoice be made out to an individual (yourself or another) or to an employer?
(If your employer is paying for the course you will need to complete the employer details below)
*
Individual
Employer
Employers Name
Your answer
Employers Address
Your answer
Employers Postcode
*
Your answer
Employers Telephone Number
*
Your answer
Department
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Line Manager's Name
Your answer
Line Manager's E-Mail
Your answer
How would you/your employer wish to pay for this course?
*
Debit/Credit card
Bank Transfer
By invoice
Do you wish to pay for this course upfront or in instalments?
*
Full cost
Instalments
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