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European Trauma Course 2022/23

Course Date: 22nd -24th March 2023


Centre/Venue: Aintree
Course Fee: £775
ALL SECTIONS MUST BE COMPLETED

Title Dr GMC / NMC 7763405


Number:
First Name: Lloyd Place of Work: Ashford and St Peters NHS
Trust
Last Name: Hunidzarira Grade: ST4

Home Address: 12 St James Close Woking Speciality: Emergency Medicine

Gender Male D.O. B 09 March 1980


Post Code: GU217QF Department: Emergency Department
Email: Lloyd.hunidzarira@nhs.net
Mobile: 07535843982 Dietary NIL
Requirements:
Tel: 07535843982
Accessibility NIL
Requirements:

COURSE FEE - £775

BACS PAYMENT – ONCE APPROVED BY A CENTRE FOR THE COURSE, BANK DETAILS WILL BE PROVIDED

FUNDING - IF TRUST IS FUNDING YOUR COURSE, THEN PLEASE REQUEST A PO NUMBER FROM YOUR
FINANCE DEPARTMENT

TERMS + CONDITIONS

 Places will be approved by centre first before payments can be made and no space is secure
unless payment has been received

 We reserve the right to change the course fee without prior notification

 Cancellation Policy – Course refunds are paid in full on return of course manual only when a
minimum of 4 weeks’ notice is received or 2 weeks before if the place can be filled with another
candidate which incurs a £50 administration fee

 I can confirm I accept the stated terms above and request a place on this course

Signature: Date: 18/02/2023


lloydhuni

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