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IMPORTANT NOTE
In the interest of harmonious balance of energies, the right is reserved
to refuse admission onto the course, or to request that a student does not
continue with the course, where this is deemed necessary. I
have read and understood and accept the above conditions and wish to apply to
join the Course
Date ------------------- Full
name ------------------------------------------------
signed-------------------------------- Address
--------------------------------------------------------------------------------------------
Post Code
Tel. No. Home
-------------------
Date
of Birth ------------
Occupation ------------------------------------------ Have
you studied Anatomy and Physiology to a satisfactory level? Yes/No
If “yes”, please give
details-------------------------------------------------------------------
Holistic Courses attended
---------------------------------------------------------------------
Interests, hobbies -------------------------------------------------------------------------------
Reasons for joining the course
----------------------------------------------------------------- Are
you interested in the 1 year certificate course ?,
2
year diploma course ?
2nd year only?
Please tick which one
Cost of course is £600 per year (ie. £300 for each section of the 6
days) £100 to be paid on
booking. The balance may be paid in
instalments by arrangement with the tutor Payments
can be made by cash, cheque or credit card
There is a £40 fee at the end of each year for the scrutiny of the
essays.
It is recommended that contact be made with the tutor before making a
final decision,
preferably with a personal interview, for mutual benefit.
Send to; Sandra
Michelson, Astley Clinic of
Complementary Medicine,
26/28,
Tel.
0191 2375935
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