PICS Learner Management System : Applicant Sign Up : Register Interest for a DigitalDurham Course

Information about You

Title

First Names *

Surname *

Contact Telephone Number

Email Address

Preferred Contact Method *

House Number *

Street Name *

Town

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Postcode *

Date of Birth *

Sex *

What is your nationality? *

Have you lived in the UK for the whole of the last 3 years? *

If you are not UK nationality what date did you enter the UK?

Do you consider yourself to have a disability/learning difficulty?

Which venue are you interested in attending for this course?

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