ATI Application Form - IRU

Details of your ATI
ATI Application Form
(For Use by Applicant Training Organisations)
Fields marked with an asterix (*) are mandatory. Please use CAPITALS only.
All information provided below will be entered by the IRU Academy in the
IRU Academy Online and must be submitted in English only.
Some of this information will be published on the IRU Academy web site.
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APPENDIX 4
The Details of your ATI will show on your ATI’s web page on the IRU Academy web site (Important:
Immediately notify us via academy@iru.org in case of any changes to any of the information provided with
your application. Your ATI must have a web site and logo with web address to be eligible for accreditation!).
ATI’s Name: (*)
Address 1: (*)
Address 2:
City: (*)
State:
Country: (*)
Telephone: (Country Code—Area Code—Number) (*)
Mobile: (Country Code—Area Code—Number)
Email: (*)
Web Site: (*)
ATI Name :
ATI’s Short Name (This is how your ATI’s name will appear on your Accreditation Certificate): (*)
Postal Code: (*)
Fax: (Country Code—Area Code—Number) (*)
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