This form is applicable to Member Companies only and must completed by the person(s) who will be responsible for registering/scheduling exams via the Extranet.
All bookings must be made prior to the arrival of the employees at the Learning Centre.

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* 1. Name of Company

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* 2. Company Address

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* 3. Name of supervisor authorizing this user to conduct business via Learning Centre’s extranet

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* 4. Supervisor's cell contact and position

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* 5. Name of person requesting Link access

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* 6. Position of the person requesting Link access

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* 7. Email Address

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* 8. Work Phone Number

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* 9. Cell Phone number

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