testing form 2

Title*

First Name*

NHS Trust *

Mobile Phone

If choose "Other"

Last Name*

NHS Grade*

E-mail address*

Choose the training date*

IMT Procedural Dates 2020

Any special requirement

Once confirmed, if you fail to attend the course(s) you have booked, your College Tutor and Educational Supervisor will be contacted and made aware of your absence. Therefore, please ensure that once you have registered and received confirmation for a course, you are committed to attend unless there are proven exceptional circumstances.*

I confirm that I have read above message carefully and understand my responsiblity.