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Virtual and Open Learning Academy ( U.K )
Registration Form
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TITLE |
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FIRST NAME[S] |
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DATE OF BIRTH |
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FAMILY NAME |
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CONTACT DETAILS |
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Address |
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Email |
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Phone |
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Course Applied For |
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The following
information is requested for equal opportunities
monitoring purposes: |
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Country of
Residence : |
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Gender |
Male / Female |
Disabled |
Yes/No |
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| Data
Protection: All data supplied will be held in
accordance with the Data Protection Regulations. Where
an email address is supplied by the applicant we
assume permission to use this address to communicate
information relevant to the chosen programme of study. |
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SIGNED |
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DATE |
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For office
use
only |
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Guardian Name & Signature : |
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Student’s Application Number : |
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College Approved : |
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Download
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