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Date of Birth

*This information is required if you wish to take the assessments at the end of the course. It is recommended you take the assessments should you wish to achieve the whole Level 1 qualification.

Cost: £1,350

Cheque

* Please send a cheque in the post seperate to this application made payable to Hampshire Deaf Association

Debit by Mastercard/Visa

Start Date

Expiry Date

Please Invoice: