Course Application Form Application Form Application form for Basic Radiation Safety Complete Course 2 Day CourseCourse running from 13 May 2019 to 17 May 2019 Company:Student Name:Student Email:Responsible Level 3 Contact Name:Company Address:Please enter your company's address. Responsible Level 3 Contact Telephone:Responsible Level 3 Contact Email: Specifications Required: Contact ISA if your specifications are not listedSpecification/Standards Information not listed above:Exam Level: Level 1 Limited Level 1 Level 2 Level 3 Written Practice: Prior to administration of qualification examinations a copy of the Employer's Written Practice is required. Emergency UK contact number, and name of accommodation:Please book your own hotel or accommodation - please let us know where you plan to stay, and a contact phone number for emergencies which will reach you while you are studying at the school. A list of accommodation suppliers can be supplied on request. General Examination Required: Written Instruction Required: Additional Information:Please provide an additional information including PO numbers. PaymentPlease make sure to inform us if invoices should be sent to a different address to the main address you have given us on this form. If your company uses PO numbers. Payment is required 30 days prior to commencement of training and/or examinations. Certificates will only be issued if payment has been received.CancellationNotification of your intent to cancel may be given 14 days prior to the course with no penalty. If less than 14 days notice is given, ISA reserves the right to retain the whole fee.Please note that both UK and overseas students are required to pay VAT (Value Added Tax) on all training provided in the U.K. (excluding air forces and government bodies).DisabilityFor any queries relating to physical access to the school or any other aspect of access please phone our reception team on 01603 260148. ISA is happy to host a short meeting if the client considers that it would be beneficial to see the facilities first hand, prior to the training event.Terms and Conditions: You must read and agree to our terms and conditions.