COURSE REGISTRATION FORM CONTRACTOR PTS INDUCTION IE Customer Number: If a new sponsoring company EMPLOYING please request ‘New Customer- Application’ Form ORGANISER’S NAME COMPANY DETAILS (Print Details) (Print Details) 9 7 COMPANY NAME ADDRESS TELEPHONE NUMBER- include area code EMAIL ADDRESS: TRAINING Dublin: Athlone: Limerick Junction: VENUE Contact Iarnród Éireann for available training dates. Your first choice may TRAINING DATE D D M M Y Y Y Y not always be available. Training dates are ONLY confirmed once all the necessary applications and payment are received and validated. PAYMENT DETAILS Send completed applications & Payment to: Payment is in Euro by Company Cheque, Bank Draft, Postal Order (made payable to Iarnród Éireann) Iarnród Éireann Contractor PTS Induction or by EFT (request IE bank details). Training Centre Inchicore Railway Works Personal Cheques, Third Party Cheques or Cash are not accepted. Dublin 8 General Enquires Total Amount Payable € Tel +353 (0) 1 703 3954 Fax +353 (0) 1 703 3942 Email
[email protected] Terms & Conditions: CHECK LIST: 1. Contractor P.T.S. Induction is a one day training programme (Time: 09.15-17.00)- Registration Time 09.00 Please ensure that the following is 2. Attendees must be employed by a company are contracted to work for or on behalf of Iarnród Éireann completed on your application: 3. A course fee of €200 per person is applicable (subject to change with notification)- Payment must accompany this form Payment : 4. One passport photograph per attendee (print name on back of photograph)- Photographs must €200 per person accompany this form-see overleaf 5.