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In-company corporate training

Application Form

  • 1Your Contact Details and Student Package
  • 2Your Payment Information
  • 3Confirm Enrolment and Payment Details
  • 4Enrolment Confirmation
  • Enrolment Form, Step 1 of 4

RED DOT (red dot small) = Compulsory information required.
 
PARTICIPANT'S DETAILS
For multiple bookings please complete this online booking form separately for each applicant.

e.g, Capt, Mr, Mrs, Miss, Ms, Dr


Please provide in the format DD/MM/YYYY


PARTICIPANT'S BILLING ADDRESS


If No, please specify your billing address below.


DIPLOMA FEE STUDY OPTIONS
Please note VAT is applicable to UK individuals, UK companies, EU individuals and non-VAT registered EU companies. If you are an EU VAT registered company, please provide your VAT number and no VAT will be charged. No VAT is applicable to individuals or companies outside the EU. VAT will be charged at the rate in force on the date of invoicing. We reserve the right to make changes to the VAT rate in accordance with the VAT regulations set by HM Revenue and Customs.

Anyone applying on or before 21st February 2014 will receive £300/US$480 discount.Anyone applying between 22nd February 2014 and 11th April 2014 will receive a £150/US$240 discount on the fees listed below.






Note: We cannot post modules by air courier to PO box addresses. If you have provided a PO box address as your mailing address, please provide a physical address in "Additional Notes" at the end of this form. *Not applicable for UK delivery




Participants will be billed in either GBP or USD depending on the price option selected. The GBP invoice will include a EUR price calculated using the exchange rate in force on invoicing.



CURRENT EMPLOYMENT DETAILS

If 3 years or less, please provide name of your previous job title and employer in the questions below.

APPROVING MANAGER
Please provide details of the person in your company responsible for approving your enrolment.

e.g, Capt, Mr, Mrs, Miss, Ms, Dr

TRAINING MANAGER
Please provide details of the person responsible for training in your company.

e.g, Capt, Mr, Mrs, Miss, Ms, Dr

QUALIFICATIONS AND SKILLS

School, College or University name and subjects passed with grades

Briefly please state your relevant work experience here.

Please give details of any professional qualificiations and name of professional bodies or associations you may belong to.

If English is not your mother tongue, please state how long you have been speaking English and/or attained IELTS or TOEFL credits if applicable.


REFEREES
In the event a reference may be needed to support your enrolment, please give the name and address of one referee and his/her position

Lloyd's Maritime Academy is committed to providing equal opportunities for all. To assist us with our monitoring please choose one selection from the options A-F to indicate your ethnic group. The information supplied will not be considered as part of the admissions process.






e.g. Mr/Mrs/Miss/Ms/Dr/Capt.

ADDITIONAL INFORMATION

Please provide details of any physical or sensory disability which might in some way affect your studies?

DECLARATION

Please click here to download the course terms and conditions (please note these will open in a new window).

 

  • 1Your Contact Details and Student Package
  • 2Your Payment Information
  • 3Confirm Enrolment and Payment Details
  • 4Enrolment Confirmation
  • Enrolment Form, Step 1 of 4