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 (Required.)

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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 (Required.)

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4. Supervisor's cell contact and position (Required.)

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5. Name of person requesting Link access (Required.)

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6. Position of the person requesting Link access (Required.)

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7. Email Address (Required.)

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8. Work Phone Number (Required.)

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9. Cell Phone number (Required.)

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