EAL Level 4 Award in the Design and Verification of Electrical Installations Booking

How many candidates will be sitting the course?
Number of candidates*
(Max 10 candidates)
Price: £ 899.00
Total to pay will be:
£ 0.00
(This will be invoiced separately)
Choose a course date
Company name*
Company contact name*
Company contact email*
Company address*
Street Address Address Line 2 City County Post Code
Is the company invoice address the same as above?
- Yes
- No
Invoice address
Street Address Address Line 2 City County Post Code
Your payment method wil be…*
- BACS
- Cheque
Please add details for each candidate below:
Candidate's name
Candidate's occupation
Candidate's date of birth
DD slash MM slash YYYY
Candidate's email
Candidate's telephone number
Should the certificate be sent directly to the candidate?
- Yes
- No
Send this candidate's certificate to:
Street Address Address Line 2 City County Post Code
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When all of the candidates have been added, please submit the form.

Please add details for each candidate below: