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 data from 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 are required to or permitted to by law, or when you have given consent.
Title
Forenames
Surname or Family Name
Address (We will sent the certificate to this address)
Date of Birth
Mobile
Gender
Male
Female
Day Tel:
Email
Post Code
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 ______
Card Holder Name _____
__________
_________
Amount to be debited (including VAT) £_____
_____________________Card Holder Signature ________________________
VAT receipt required
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___________
Workshop Dates and Venues
Date and Venue
11-12 July 2012
Please select one only
Garston, Watford WD25 9XX
Please select Role Play Interview
Date below
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
24-25 July 2012
Swansea Waterfront, SA18AS
Role Play Interview Date:
(You must have submitted at least
two Green Deal Reports before
attending the Role Play Interview
Date)
Please select Role Play Interview
Date below
4th September 2012
or
5th September 2012
14-15 August 2012
Garston, Watford WD25 9XX
Please select Role Play Interview
Date below
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
26-27 September 2012 and Role
Play interview on 31st October 2012
Garston, Watford WD25 9XX
(You must have submitted at least
two Green Deal Reports before
attending the Role Play Interview
Date)
9-10 October 2012 and Role Play
interview on 6th November 2012
Barnsley S75 1BP
(You must have submitted at least
two Green Deal Reports before
attending the Role Play Interview
Date)
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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: [email protected]
Tel: 01923 664829
or Fax: 01923 664336
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