Level 3 Diploma in Green Deal Advice

I confirm that I wish to be accepted as a candidate for the Diploma in Domestic Green Deal Advice. I have read and accept the Terms and Conditions and the Candidate Regulations and Appeals Procedure. I understand that my assessment period included in the assessment fee is 4 months from commencing the workshop and if by this time I have not completed the Diploma and require further support then an additional fee may be payable.

Important

Please complete this form and ensure that your name is entered in the format that you wish to have printed on your final certificate.

Data Protection Act– BRE is registered under the Data Protection Act 1998 and undertakes to process your data in accordance with the legal requirements of the Act. The datafrom this form will be used solely by BRE for marketing & administrative purposes. We will also supply your data to the awarding body. Your details will be used to compile a mailing list to keep you updated on information that is available through the programme. All data is treated in confidence and is not disclosed to any third parties, other than when we arerequired to or permitted to by law, or when you have given consent.

Title / Forenames / Surname or Family Name
/ Date of Birth / Gender
Male Female
Address (We will sent the certificate to this address)
Post Code / Mobile / Day Tel:
Email
Signature of candidate Date:
(signature is not required if submitted by email by the candidate)
BRE Payment: £1,495 plus VAT (Total: £1,794.00)
Cheques or Postal Orders – made payable to BRE
or
BACS payment to Barclays Bank, Account Number: 00606758, Sort Code 20-65-63
(Quote BRE Project No: PR0017)
or
Credit Card payments can be accepted – Please complete below (We do not accept American Express Card)
Visa Delta MasterCard Eurocard Switch (Issue No. _____, Start Date______)
Full Card Number
3 digit security code (on reverse of card) ______
Expiry Date ______Amount to be debited (including VAT) £______
Card Holder Name ______Card Holder Signature ______
VAT receipt required

Workshop Dates and Venues

Date and Venue / Please select one only
11-12 July 2012
Role Play Interview Date:
(You must have submitted at least two Green Deal Reports before attending the Role Play Interview Date)
22nd August 2012
or
23rd August 2012
or
30th August 2012 / Garston, Watford WD25 9XX / Please select Role Play Interview Date below
24-25 July 2012
Role Play Interview Date:
(You must have submitted at least two Green Deal Reports before attending the Role Play Interview Date)
4th September 2012
or
5th September 2012 / Swansea Waterfront, SA18AS / Please select Role Play Interview Date below
14-15 August 2012
Role Play Interview Date:
(You must have submitted at least two Green Deal Reports before attending the Role Play Interview Date)
18th September 2012
or
20th September 2012
or
28th September 2012 / Garston, Watford WD25 9XX / Please select Role Play Interview Date below
26-27 September 2012 and Role Play interview on 31stOctober 2012
(You must have submitted at least two Green Deal Reports before attending the Role Play Interview Date) / Garston, Watford WD25 9XX
9-10 October 2012 and Role Play interview on 6th November 2012
(You must have submitted at least two Green Deal Reports before attending the Role Play Interview Date) / Barnsley S75 1BP

Please return the completed form with payment and a copy of the DEA qualification certificate (including the upskilling certificate) to:

BRE Training, BRE, Bucknalls Lane, Garston, Watford, Herts, WD25 9XX or

Email: or Fax: 01923 664336

Tel: 01923 664829

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