Train the inspector Courses – Application Form

PLEASE COMPLETE IN BLACK INK AND BLOCK CAPITALS

PERSONAL DETAILS (2 passport sized photographs required)

Surname Forename Title

Sex Nationality Country of Permanent Residence

CONTACT DETAILS
Correspondence Address

Postcode Country

Tel Fax

Email Mobile

Company/Employer Position

Work phone No Work email

EDUCATION (Please attach a copy of your CV and appropriate certificates)

COURSE I would like to enrol on the following course – fees due with application + 20% VAT (where applicable)
Total includes assessment & certificate fees Total

Train the inspector Material Access Only £575.00

Train the inspector Certificate of Completion £625.00

ICorr Coatings Inspector Level 1 £950.00

ICorr Coatings Inspector Level 2 £1,095.00

ICorr Coatings Inspector Level 3* £1,195.00

Coating Inspector Transition to ICorr Level 1 £350.00

Coating Inspector Transition to ICorr Level 2 £350.00

IMO PSPC Certificate £875.00

1 Day Practical Workshop £295.00

SSPC Fireproofing Inspector (1) £595.00

SSPC Pipeline Coating Inspector (2) £750.00

Insulation Inspector (3) £595.00

Hot Dip Galvanising Inspector (4) £595.00

Marine and Offshore Coating Inspector Course (5) £750.00

Training Package** Multiple Booking Discount

CSCS Card £100.00

Multiple Booking Discount (Courses 1 - 5) 2 Courses - £1000 3 Courses - £1350

4 Courses - £1500 5 Courses - £1875
Total Fees: £
* Level 3 includes Mandatory Advanced Workshop.
** If you would like to enrol in 2 or more supplementary courses (1-5), please tick the + 20% VAT: £
appropriate box to take advantage of our multiple booking discount.
Total : £
 INVOICE

Please send my company an invoice

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Tick here PAYMENT CHOOSE ONE OF THE FOLLOWING PAYMENT OPTIONS

Made payable to MPI Group
I enclose a cheque for: £ (Cheques must be in pounds sterling and drawn
on a British bank)

I am making a payment free of all charges directly to the MPI Group bank account at:
UK Bank Transfer National Westminster Bank Plc, 19 Shaftesbury Avenue, London, W1A 4QQ, UK

Account No: 06532381 Sort Code: 56-00-29

I am making a payment directly to the MPI Group bank account at:

EU/Non EU Bank Transfer
IBAN: GB35 NWBK 5600 2906 5323 81 Swift Code: NWBK GB2L
Account No: 06532381 Sort Code: 56-00-29
Account Name: MPI Group Bank Name: National Westminster
Bank Address: 19 Shaftesbury Avenue, London, Bank Plc
W1A 4QQ, UK

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Name of Card Holder:

Credit Card
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Expiry Date Valid Date CVV code

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Payment must be received prior to the preferred start date

I include:
ID Photo (scanned is accepted) CV

Relevant certificates where appropriate Payment Plan if required

I confirm that the statements made by me on this form are correct. I agree to abide by the course terms and conditions

Signature Date:

The fully completed application form and payment should be returned to MPI Group at the address below, by email or fax.

Data Protection: We would like to keep you informed of MPI Group’s products and services and may also from time to time make your details available to carefully
screened companies who may be of interest to you. However, if you specifically do not wish your details to be used, please tick here:
3869 0418

MPI Group, Peel House, Upper South View, Farnham, Surrey, GU9 7JN, UK.
Tel +44 (0) 1252 732220 l Fax +44 (0) 1252 732221 l Email info@corrodere.com l corrodere.com