Registration Form 2 for Advanced Level
Module 3
Your name:
Your email address:
Your phone number:
Your home address:









Please list previous legal
qualifications:





Where obtained:




List any legal or work
experience, if any:






How many years?

If less than 1 year, please
state months



Live Classes; or

Distance Learning via
Recorded video Lessons?
__________________________________________________________________________________________________________________________________________________________________
Registration Form 2
Please ensure that your
address and personal
details have been entered
accurately.  Failure to enter
correct details will result in
your Diplomas/Certificates
being incorrectly posted
and will incur additional
postage & handling
charges.