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Application Form

We are pleased to welcome you at one of our courses/seminars in the near future.
In order to reserve you a place, print out the application form and fill the required information in the gaps. Please send it to
PRAESIDIA DEFENCE via fax or mail.

Application Form PRAESIDIA DEFENCE

First name: ................................................  Surname: .................................................

Street: .......................................................  City: ........................................................

Telephone: ................................................  Telefax: ....................................................

Email: ........................................................  Nationality: ..............................................

Country: ....................................................  Date of birth: ...........................................

Learned profession: .....................................................................................................

Currently practised profession: .....................................................................................

Special qualification: ....................................................................................................

1.  I enrol for the following course/seminar: ... ........................................................
     (from ........................ to ................................ )
2.  I have never suffered of a mental disease. (Only for the executive protection course:
     I have no physical or mental problems which would be incompatible with the mental
     and physical demands during the executive protection course.)
3.  I have never been a member of an anti-democratic or illegal organization or movement.
4.  I attend the course/seminar offered by PRAESIDIA DEFENCE at my own risk. I will
     hold
PRAESIDIA DEFENCE free from any liabilities due to accidents, injuries, illness
     and other incidents that may arise or occur as a part of or in connection with the course
     or seminar.
The
terms of business of PRAESIDIA DEFENCE are part of the regulations and I have
seen them and accept them. The statements I provided are correct.

Date: ........................... Signature: ......................................

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