REGISTRATION FORM

Registration Form

Registration Form

Candidate Details: (please fill in your details)

First Name:

Last Name:

Identity Number:

Educational Qualification:

NDT Highest Qualification:

Sex:

Male Female Other

Date of Birth:

Country of Origin:

Tel Number:

Email:

Mobile Phone Number:

Residential Address:

Postal Address:

Employment Status: (Full Time Employed, or Sub-Contractor)

Employment Status:

Position:

Company Name:

Contact Person:

Contact Number:

Contact Email Address:

Company Physical Address:

Course Details: (Please fill in the course that you are booking for)

NDT Methods:

NDT Level:

Start Date:

Will you be doing your PCN exam?

Yes No

Preferred Date of PCN Exam:

PCN Number:

Signature And Date: (Upload your signature image here)

By signing this document, I acknowledge to have read, understood, and accept the terms and conditions outlined in ODERA-TC-001 Terms and Conditions.

Odera Training Academy Limited is a provider of comprehensive array of consultancies and trainings in inspection, non-destructive testing (NDT) and coatings, examinations and Level 3 Services to a wide world client base.

Upon completion of a course, you will be issued a certificate to practice NDT anywhere in the world.

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Odera Training Academy

About us

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Life at Ikeja, Lagos, Nigeria. Security

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Address

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HEAD OFFICE

Nigeria Office:

No. 3, Abiodun Close, Off Alabi Street, Off Toyin Street, Ikeja.

ZONAL OFFICE:

United Kingdom Office:

N0. 3, Old Vicarage Close, Cardiff CF145UZ, Wales, United Kingdom.

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Support

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Phone: +2349166713614

+2347048256348

Website: www.oderaacademy.com
Email: training@oderaacademy.com

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REGISTRATION FORM

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Odera Training Academy

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