Please contact Barrels & Beyond at +971565016432 or e-mail info@barrelsandbeyond.com if you face any problem with the application


Course

Course Name *
I would also like to know about :
Wine program Bordeaux Wines
Whisky Courses Other Events Others:

Personal Details

Gender

Male

Female

First Name(s) *
Last Name* Mobile Number *
Email * ID Card No./Passport No.
Date of Birth * Candidate Number
(if any)
Mailing Address
Company Name Position
Work in Wine & Beverages Industry

Yes

No

If Yes, which sector
Producer/Exporting
Importing/Wholesaling
Retailing
Hospitality/F&B
Media/Consulting
Others

Group Discount (If applicable)

Provide the name(s) and telephone numbers of all people in your group. Please note that all members of your group must provide a completed application.

Name: Tel:
Name: Tel:
Name: Tel:

Please send us an email if you have more than 3 people in your group

Other Information

Please state how you came to hear about the course you are applying for. (Please mark the appropriate box(es))

Email Instagram Referral
Website Event(s) Yahoo! Search Engine
Flyer/Poster/Collaterals Facebook Google Search Engine
Advertising Others

Declaration and Authorization

1. I declare that all information given in this application form and the attached documents are, to the best of my knowledge, accurate and complete and that any false information or misrepresentation will disqualify my application for admission and enrolment
2. I authorize Barrels & Beyond to use, check and process my data as required for my application to all courses which are held in Barrels & Beyond. I accept that all the data in this form and those the courses are authorized to obtain will be used for purposes related to the processing and administration of my application in Barrels& Beyond.
3. I authorize Barrels & Beyond and the relevant bodies or academic institution in elsewhere to extract, obtain, release and access any and all information about my examination results, records of studies or professional qualifications, I also authorize the School to use my data in this form for the purpose of obtaining information.
4. Please tick this box if you would like to receive other future courses/events updates from Barrels & Beyond.
* I have noted, understood and agreed the contents of Booking Terms and Conditions and Barrels and Beyond Policy on Personal Data(Privacy)

Remarks

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