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Name ................................................................................................................................................... Address................................................................................................................................................ Tel (H)...............................Tel(W)........................................Tel(M).................................... e-mail........................................................................................................................... Resits/Exams Scheduled at: UMIST/Cardiff/City/Bradford/Aston/Anglia/Glasgow Please Indicate Date(s)............................................................................................................................... Subjects (please indicate)............................................................................................................................................... ........................................................................................................................................................... Dietary requests.....non-vegetarian/vegetarian/other.................................................... (Please indicate) I understand that all tutorials are booked on a "first come first served" basis, that attendance at the tutorials does not guarantee success in the Exams and that HIRJI Associates reserve the right to cancel these tutorials in part or in total.
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Please complete fully and post with pre-payment cheque to: HIRJI Associates, 7 Milford Rd, Harborne, Birmingham B17 9RL, UK. We will subsequently contact you to arrange the details. All pre-payments by cheque to be made to "N. K. Hirji" |
