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Registration of Interest Form

I understand that my details will be held on a database, that IT Wales will contact me periodically with news and events and that IT Wales will not make my details available to a third party without my consent.

I would like to register my interest in Student / Graduate Placements

Brief Description of Tasks / Projects for Placee: (required)



Company Name*:

Contact Name*:

Title*:

First Name*:

Surname*:

Company Address*:

Address Line 1*:

Address Line 2*:

Address Line 3:

City/Town*:

County:

Postcode*:

Phone Number*:

Mobile Number:

Email*:

Web Address:

Nature of Business:

Number of Employees*:

How did you hear about IT Wales?*