TEA6 - Training Course Application Form v3.2

Please complete this form to provisionally book an individual place on one of Stroma Certification's training courses.

After submitting this form you will receive a booking confirmation and an invoice for the training fee.

Once you have completed this booking form a member of our training team will contact you to take payment for the course.
About You
Please enter some details about your company to make your booking.
Name Name * First Last
Date of Birth Date of Birth * / DD / MM YYYY
Date of Birth: Important
All Energy Assessor courses are subject to a minimum age entry requirement.

All learners must be 18 on the day that they qualify.
Company Name (to be invoiced) *
Billing Address Billing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone *
Are you a Stroma Certification member? *

Are you a Stroma Certification member? Yes No
Please provide your Stroma Certification membership number: *
Additional Delegates
Please use this section if you would like to book additional delegates onto the training course
Would you like to book any additional delegates?
Name (Delegate 2) Name (Delegate 2) * First Last
Date of Birth (Delegate 2) Date of Birth (Delegate 2) * / DD / MM YYYY
Date of Birth: Important
All Energy Assessor courses are subject to a minimum age entry requirement.

All learners must be 18 on the day that they qualify.
Email (Delegate 2) *
Phone (Delegate 2) *
Name (Delegate 3) Name (Delegate 3) * First Last
Date of Birth (Delegate 3) Date of Birth (Delegate 3) * / DD / MM YYYY
Date of Birth: Important
All Energy Assessor courses are subject to a minimum age entry requirement.

All learners must be 18 on the day that they qualify.
Email (Delegate 3) *
Phone (Delegate 3) *
Course Booking

Please choose which course you would like to book. Available courses are:
Please select the course type you would like to book *
Please choose course length *
Do you have a Promotional Code? (Enter if applicable)
Equality, Diversity & Fairness
Stroma Certification operates an “EDF1 - Equality, Diversity and Fairness Policy” to ensure the equality of all applicants who attended training or examination events. This document can be located within the “Members Pack” available via the ‘Become a member’ and ‘Application packs’ menus on the Stroma Certification website (www.stroma.com/certification).

Should you have any specific requirements please provide these in the table below so that we can accommodate these prior to your attendance of a training course and/or examination;
Refreshments - Please indicate any dietary needs you may have:
Access - If you have any special needs in relation to access to facilities:
Other - If you have any other special needs:
Permission to Contact
We like to keep in touch with our clients by post, phone, email and other electronic means with relevant industry news, exclusive offers, events details, CPDs and the latest information from Stroma Certification and Stroma Group companies. Please be assured we’ll treat your information with the utmost care and will not share your information with other companies for marketing purposes without your express permission. For more information about how we’ll use your data please refer to our Privacy Policy .

You can opt out of receiving further communications from Stroma Certification and the Stroma Group at any time by completing this form.
Please confirm if you would like us to contact you or not by selecting one of the options below: *

Please confirm if you would like us to contact you or not by selecting one of the options below: I do want to hear about industry news, offers, CPDs/events and Stroma information I do not want to hear about industry news, offers, CPDs/events and Stroma information
Terms & Conditions
Please read and agree to our Terms & Conditions in order to book your course.
Do you agree to our Terms & Conditions? *

Do you agree to our Terms & Conditions? I agree to the Terms & Conditions
Produced By: Steven Marriott

Authorised By: Sam Cantle

On behalf of Stroma Certification Ltd

Issued Date: 11/01/2022
Issue Revision: v3.2

TEA6 - Training Course Application Form v3.2

TEA6 - Training Course Application Form v3.2

About You
Please enter some details about your company to make your booking.

Date of Birth: Important
All Energy Assessor courses are subject to a minimum age entry requirement.

All learners must be 18 on the day that they qualify.

Additional Delegates
Please use this section if you would like to book additional delegates onto the training course

Date of Birth: Important
All Energy Assessor courses are subject to a minimum age entry requirement.

All learners must be 18 on the day that they qualify.

Date of Birth: Important
All Energy Assessor courses are subject to a minimum age entry requirement.

All learners must be 18 on the day that they qualify.

Course Booking

Terms & Conditions
Please read and agree to our Terms & Conditions in order to book your course.

Produced By: Steven Marriott

Authorised By: Sam Cantle

On behalf of Stroma Certification Ltd

Issued Date: 11/01/2022
Issue Revision: v3.2

TEA6 - Training Course Application Form v3.2

TEA6 - Training Course Application Form v3.2

About You Please enter some details about your company to make your booking.

Date of Birth: Important All Energy Assessor courses are subject to a minimum age entry requirement. All learners must be 18 on the day that they qualify.

Additional Delegates Please use this section if you would like to book additional delegates onto the training course

Date of Birth: Important All Energy Assessor courses are subject to a minimum age entry requirement. All learners must be 18 on the day that they qualify.

Date of Birth: Important All Energy Assessor courses are subject to a minimum age entry requirement. All learners must be 18 on the day that they qualify.

Course Booking

Terms & Conditions Please read and agree to our Terms & Conditions in order to book your course.

Produced By: Steven Marriott Authorised By: Sam Cantle On behalf of Stroma Certification Ltd Issued Date: 11/01/2022 Issue Revision: v3.2

About You
Please enter some details about your company to make your booking.

Date of Birth: Important
All Energy Assessor courses are subject to a minimum age entry requirement.

All learners must be 18 on the day that they qualify.

Additional Delegates
Please use this section if you would like to book additional delegates onto the training course

Date of Birth: Important
All Energy Assessor courses are subject to a minimum age entry requirement.

All learners must be 18 on the day that they qualify.

Date of Birth: Important
All Energy Assessor courses are subject to a minimum age entry requirement.

All learners must be 18 on the day that they qualify.

Terms & Conditions
Please read and agree to our Terms & Conditions in order to book your course.

Produced By: Steven Marriott

Authorised By: Sam Cantle

On behalf of Stroma Certification Ltd

Issued Date: 11/01/2022
Issue Revision: v3.2