NDE Institute of Quality Management Form Doc. No.

: QMP 003-R1
Trinidad Limited Rev. No.: 2
Registration Form Date: November 2016
Page No.: Page 1 of 1

Full Name:
Course Name(s):
Course Date(s):
Home Address:
City:
Country:
Home Phone / Cell Phone:
Company Name:
Department:
Your Position:
Company Phone & Ext:
Fax Number:
Company Address:
Email Address:
Certification Held (If Any):
Specify Your Type of Industry:
Reason For Taking The Course (Circle): Certification Employer Stipulation General Knowledge
Improve Employability Refresher/Upgrade Sales
Other (Specify):
How Did You Learn About This Employer/Co-Worker Previous Student CINDE
Course? Service Inspection Co. Advertising Industry Involvement
Internet Friends/Relatives Infraspection
Acceptable Payment Methods: Cash, Company Cheque, Personal Cheque, Bank Direct Deposit and Certified Cheque
All Cheques are to be made out to: NDE Institute of Trinidad Ltd.

Note: Unless otherwise stipulated, an applicant will only be assigned a confirmed seat or placement when full payment is
received. Therefore Advanced Payment is necessary in order to be placed on any NDEIT course(s). By completing and signing
this form you are promising to pay all fees and are bound to the cancellation policy below whether or not full, partial or no
payment has been made. All students are required to supply and wear their own safety footwear (steel tip) for all lab sessions.
NDEIT will supply all other safety PPE necessary.

Please fax or email this signed & completed form to: (868)-653-9343 / info@learnndt.com

Course Cancellation Policy: By completing and signing this form you are committing to the full payment of the course(s) that
you have applied for and are liable to this cancellation policy regardless if any fees have or have not been paid. The following
cancellation policy applies for each course (From Date Of Course):
- More than 2 weeks notice (11 business days): $350.00 USD
- Between 7 Days to 2 weeks notice: 50% refund
- Between 6 Days to Day Of Course: Regarded as “No Show” and Full Fee Charged

I have read, understood and agree with the above notes, terms and cancellation policies.

………………………… ………………….
Signature Date

Compiled by: S.James Checked by: S.James Authorized by: S.James