ATI Application Form - IRU

ATI Application Form
Estimated Number of Students per Calendar Year
Page 8 of 8
APPENDIX 4
Please indicate the Estimated Number of Students per Calendar Year, which you intend to train for “Initial
Qualifications of Professional Drivers”, including Guidelines for Individual Driver and Periodic Training of
Professional Drivers course.
2011(*)
Application Fee & Copy of Bank Transfer
The application process will start as soon as your Application Fee is received
by the IRU Academy!
The CPC DRIVER ATI Letter of Intent (see Appendix 3), showing your interest to join
the Programme, along with a Copy of the Application Fee Bank Transfer must be sent
by Fax to: +41-22-918 27 41, or by Email to: academy@iru.org or by Mail to:
IRU Academy, International Road Transport Union (IRU), 3 rue de Varembé, B.P. 44,
CH-1211 Geneva 20, Switzerland.
Important: clearly identify your Institute’s Name on the Copy of the Bank Transfer.
The appropriate Application Fee must be transferred to:
UNION BANK OF SWITZERLAND (UBS SA)
SWIFT CODE: UBSWCHZH80A
IBAN: CH05 0024 0240 3121 6640 U
CLEARING NUMBER: 240
I, the undersigned, attest that all the information contained in Appendices 2 through 7 are accurate and
true to the best of my knowledge.
Submitted on: Full Name & Signature:
Day Month Year (*)
— —
Accredited on: Day—Month—Year
— —
Indicate your Full Name and Sign
For IRU Academy Use Only
CPC DRIVER ATI Letter of Intent and Copy of Application Fee Bank Transfer received:
Application Fee received:
ATI Name :
2012(*)
Yes No
2013(*)
Please indicate your charging option?(*) Flat fee: Percentage based:
Please indicate what is the total course fee payable by the learner?(*)
* * * * *
ATI Code:
Yes No