Booking Form

1. Delegate Details (one form to be completed per delegate)

Title Dr

Gender Male

Forename(s) Sunny

Nationality

British

Family Name Bagga

Job Title Programme Leader - Health & Life Sciences

Telephone Number 02477 659606

Mobile Number

07841 355966

Email Address sunny.bagga@coventry.ac.uk

Dietary/Other Requirements None

2. Course Event / Information

Course/Event Title The Future of Further Education and Higher Education
Date From 15/03/16

Date To 15/03/16

Cancellation of Course All cancellations must be confirmed in writing or email, subject to our terms and conditions (see below link)
Should notification of cancellation of your free place not be given within the notification period in the terms and conditions, there will be a 50
admin charge levied on the booking.
Salford Professional Developments terms and conditions http://www.salford.ac.uk/onecpd/about-spd/terms-and-conditions

3. Organisation Information
Organisation Name Coventry University College
Address Armstrong Siddeley Building, Priory Street, Coventry
County Warwickshire

Postcode CV1 5FB

Telephone Number 02477 659606

Country UK
Fax Number -

Email Address sunny.bagga@coventry.ac.uk

4. Declaration
Delegates Name

Sunny Bagga

Sunny Bagga (Feb 16, 2016)

Acceptance of SPD Terms and Conditions of Booking (Must be checked for booking to be
processed)

Date 16.2.16

Booking Form for Free places

Adobe Document Cloud Document
History

2/16/16

Created:

2/16/16

By:

Salford Professional Development Ltd (cpd@salford.ac.uk)

Status:

SIGNED

Transaction ID:

CBJCHBCAABAAmn20goxbrnztbv25hgGP6Wg_B-Iq3_JC

Booking Form for Free places History

Document created by Salford Professional Development Ltd (cpd@salford.ac.uk)
2/16/16 - 12:31:28 GMT - IP address: 146.87.217.14

Document emailed to Sunny Bagga (sunny.bagga@cuc.coventry.ac.uk) for signature

2/16/16 - 12:31:51 GMT

Document viewed by Sunny Bagga (sunny.bagga@cuc.coventry.ac.uk)

2/16/16 - 12:36:50 GMT - IP address: 194.66.32.16

Document e-signed by Sunny Bagga (sunny.bagga@cuc.coventry.ac.uk)

Signature Date: 2/16/16 - 12:55:22 GMT - Time Source: server - IP address: 194.66.32.16

Signed document emailed to Salford Professional Development Ltd (cpd@salford.ac.uk) and Sunny Bagga
(sunny.bagga@cuc.coventry.ac.uk)
2/16/16 - 12:55:22 GMT