Full Name

Date of Birth

Gender

Male Female

Email

Phone

Full Address

Permanent Address is same as above

Permanent Address

Education

A Post-Graduate and/or a Higher degree or Diploma
A Graduate degree or Diploma

Subject Area*

You are currently:

Studying
Working, either full time or part time
Working in an industry other than publishing and looking for a change
Working in the publishing industry and seeking a refresher course
Love books and want to train for a publishing career
None of the above.

Please write, in 500 words, why you want a career in publishing:

Please tell us where you heard about this course:

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