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RMT EDUCATION APPLICATION TO ATTEND RMT EDUCATION COURSE Please complete the following in full. Name .................................................................................................................................................. Address .............................................................................................................................................. ............................................................................................................................................................. .......................................................................................... Post Code ............................................. Contact number ................................................................................................................................ Email contact .................................................................................................................................... RMT membership number ............................................................................................................... Length of membership in RMT ....................................................................................................... Position held in RMT currently ...................................................................................................... Employer ........................................................................................................................................... Course title ........................................................................................................................................ Date of course – week commencing- 1st choice .............................................................. 2nd choice .............................................................. 3rd choice ....................................................................... Any special requirements to assist you to attend the course, dietary etc ............................................................................................................................................................. ............................................................................................................................................................. Train tickets are available for travel on East Coast Mainline, do you require a ticket-............... Please return this form completed to your branch secretary for authorisation. Signature of course applicant.......................................................................................................... Branch name ..................................................................................................................................... Signature of branch secretary ......................................................................................................... Date ..................................................................................................................................................... This form when signed should be forwarded as soon as possible to; Lynne Heath RMT National Education Centre 47-49 Thorne Rd, Doncaster South Yorkshire DN1 2EX. Branch stamp a a Gur, RMT EDUCATION APPLICATION TO ATTEND RMT EDUCATION COURSE Please complete the following in full. 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Please return this form completed to your branch secretary for authorisation. Signature Of branch SeCretary ......cccscssssescesccessecceccecceseescescessescescescesecsecesenseeseseeseeseeseeeeeeeeeeeesenees This form when signed should be forwarded as soon as possible to; Lynne Heath RMT National Education Centre 47-49 Thorne Rd, Doncaster South Yorkshire DN1 2EX.