Centre for Health Education
Paediatric Training-Application Form
 

CHE - Course Application Form for BLS

(All * marks are mandatory)
 


Personal Information
Title *
Forename(s) *
Surname *
Mobile Number *
Email *

Home Address
Address Line 1*
Address Line 2
Address Line 3
Town/City *
Postcode *
Country *

Upload ID
Please upload proof of ID: passport/NID/driving licence.*
[We can accept any of the following formats: jpeg, jpg, pjpeg, x-png, png or pdf.]

Photo Upload		  
Please upload a recent photo of yourself.*
[We can accept any of the following formats:
jpeg, jpg, pjpeg, x-png, png or pdf.]


Username/Password (For Member Login)
Confirm Email
Password


Course Details
Your selected course
Please choose the month in which you wish to attend the session
Please select the type of seat you are looking for:
 

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View our Terms & Conditions*
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PLEASE NOTE: YOU WILL ONLY BE ABLE TO ACCESS YOUR ACCOUNT ONCE YOUR APPLICATION HAS BEEN APPROVED.