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Enrolment form

Your courses

Course Name	Start Date	End Date	Site
City & Guilds NPTC L2 Award in the Principles of Safe Handling and Application of Pesticides (PA1) Liverpool	01/12/2025	01/12/2025	Liverpool Campus
City & Guilds NPTC L2 Award in the Principles of Safe Handling and Application of Pesticides (PA1) Liverpool	23/02/2026	23/02/2026	Liverpool Campus
City & Guilds NPTC L2 Award in the Principles of Safe Handling and Application of Pesticides (PA1) Liverpool	15/06/2026	15/06/2026	Liverpool Campus

HOSC30/1/60122146/G, City & Guilds NPTC L2 Award in the Principles of Safe Handling and Application of Pesticides (PA1) Liverpool, 25/26

Enrolment

HOSC30/1/60122146/C, City & Guilds NPTC L2 Award in the Principles of Safe Handling and Application of Pesticides (PA1) Liverpool, 25/26

Enrolment

HOSC30/1/60122146/E, City & Guilds NPTC L2 Award in the Principles of Safe Handling and Application of Pesticides (PA1) Liverpool, 25/26

Enrolment

About You

Title

First Name (Given name)

This should be your legal name. This will then be used for all our communications, official documents (e.g. certificates), and correspondence

Middle Name(s)

Last Name (Family name)

Date Of Birth

Legal Gender

This must be your legal sex at birth.

Ethnic Origin

Nationality

Please enter your nationality if your nationality is not British

Do you have any spent criminal convictions and/or any pending?

Yes

Please enter the title of the offence

Your Contact Details

Contact Number (Main Number)

Mobile

Personal Email Address

Please supply your personal email address. This is the address we will send you information about your application

Address

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House No./Name and street (Address Line 1)

Address Line 2

Town/City

County

Postcode

Country

Please enter where you live if it is not England

Emergency Contact

Contact name (full name)

Relationship to contact

Contact phone number (Please enter with no spaces)

Contact email address

Are you living with this person?

Yes

Is Living With Contact1

Please provide the details of someone we can contact who is your Next of Kin. Where under 18 this must be a parent/legal guardian

House No./Name and street (Address Line 1)

Contact Address Line 2

Town / City

County

Postcode

How we use your personal information

Myerscough College Privacy Notice

The personal information you provide is processed by the College in line with the Myerscough College Student Privacy Notice, which is available on our website, and includes details of third parties we are contractually required to share data with and is inclusive of surveys which are required to be completed to assess your learning needs. The College will contact you using the details you provide for the purposes of providing you an education.

Cancellation Policy provided

All cancellations should be received in writing via post or email. For non-attendance of a course/training the full fee will be payable.
Cancellations received more that 28 days prior to the start date will be subject to an administration charge of 10% of the course/training cost or £15 whichever is the greater.
Cancellations received between 21-28 days prior to the start date will be subject to 50% of the course/training costs (unless the place/course is re-sold).
For all cancellations received within 21 days prior to the start date the full cost will be payable.
The Director of Finance must agree to any refunds. The College reserves the right to cancel or postpone any course however in the unlikely event that this happens we will endeavour to inform you of the situation and offer an alternative date as soon as possible.
Any learning difficulties or medical needs that may impact on the candidate’s ability to safely complete the course must be disclosed

Refund Policy

Please see the College Refund Policy https://www.myerscough.ac.uk/media/9245/fees-policy-2021-22.pdf

Further information about use of and access to your personal data, details of organisations with whom we regularly share data, information about how long we retain your data, and how to change your consent to being contacted, please visit: https://www.gov.uk/government/publications/esfa-privacy-notice.

Confirm & Submit

Please confirm:

Please tick the box to confirm that you have read and understood the Student Privacy Notice, and the Cancellation Policy provided above

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