ATI Application Form - IRU

ATI Name :
Official Authority (Continued)
Telephone: (Country Code—Area Code—Number) (*)
Mobile: (Country Code—Area Code—Number)
Email: (*)
Examination Body
ATI Application Form
Page 6 of 8
APPENDIX 4 (Continued)
Provide below, for this CPC DRIVER programme, including Guidelines for Individual Driver
and Periodic Training of Professional Drivers, the information of the competent national Examination Body
in your country, including the contact details of the person responsible.
Examination Body Name:
Short Name: (*)
Address 1: (*)
Address 2:
City: (*)
State: Postal Code: (*)
Country: (*)
Web Site: (*)
Fax: (Country Code—Area Code—Number) (*)
Is the Examination Body Name as it will be printed on the IRU Academy CPC DRIVER Certificate, provided
prior Examination Body approval is obtained; the maximum number of characters is twelve (12).
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