1. First Name*
2. Last Name*
3. Employer Name*
4. Contact phone number*
5. Home address including post code*
6. Email address*
7. Course*Dangerous goods by airDangerous goods by air revalidationDangerous goods by air radioactive
8. Course date*
9. Course location*
10. If revalidation please enter your previous CAA certificate number
11. If revalidation please enter your certificates expiry date
12. Do you currently have a copy of the IATA Dangerous Goods Regulations 62nd Edition?*YesNo
13. If you do not have your own copy of the IATA Dangerous Goods Regulations 62nd Edition manual, you need to acquire it. Please choose ‘Yes’ if you require a copy of the IATA Dangerous Goods Regulations 62nd Edition manual ordered and sent out to you? *the cost is £300, this cost will be added to the original PO number provided for your booking*Yes I require a copy at an additional cost of £300No
14. Please include the full address you would like the IATA manual posting to if different from the address above.
15. Which exam paper will you require at the end of your course?*AcceptanceShipperJointNot sure
16. Date form submitted*
