Distance Learning Application Form

Title

Name

First

Last

Email address for correspondence

Previous Education/Qualifications

Company

Company 2

Experience

Experience 2

Present Job Title

Employer

Mentor's Name

tick (if remaining

Company Contact Name

Contact Name for Invoice

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Work Email

Mentor's Email

Company Contact Email

Contact Email for Invoice

Who is paying the fee?

Are you already a member of the Institute of Materials Finishing?

Company Membership No (if applicable)

Your Membership Number

Which course do you wish to enrol on?

Technology Block Title

Electroplating - [8 Surface Improvement] [9* Principles & uses of Electroplating] [10 Plant & Equipment] [18 Maintenance of Solutions & Product Quality]
Organic Coating - [19* Conventional Paint Processes] [20 Electrophoretic Paint Processes] [21 Paint Application Methods] [23 Testing Paint & Powder]
Aerospace - [19* Conventional Paint Processes] [21 Paint Application Methods] [24 Chemical Conversion and Sol Gel Coatings] [25 Anodising of Aluminium & Alloys]

* Double Unit

Please tick remaining 3 units of your choice only

Units 1-7 are mandatory; * Double Unit

Please tick remaining 3 units of your choice only

Units 1-7 are mandatory; * Double Unit

Please tick remaining 3 units of your choice only

Units 1-7 are mandatory; * Double Unit

Technician Module

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