Agents Company/Business Name (required) CRN Number (UK only) Name of company director (required) Name of person responsible for correspondence (required) Address (required) Telephone Number (office) (required) Telephone Number (mobile) Skype ID Email (primary) (required) Email (any additional contacts) Website How many years has your agency been established? (required) Do you have branch offices? (required) yesno If yes, please indicate name and contact information, including contact name, address, telephone number and email. By entering data on this form I hereby consent to The Cambridge Centre for Languages collecting and holding data about me. This data will be used in order to carry out the contracted running of the course and to follow our legal responsibilities to make sure everyone on our courses is safe (“safeguarding”). I understand that: 1. Data collected on the form will be processed by CCL staff 2. CCL will keep the information confidential, and will not make copies of any of the data beyond that necessary for running the course 3. Special category personal data (about health and dietary requirements) will be held only by relevant personnel at CCL and will not be shared with other people 4. The data will not be held indefinitely and will not be used for marketing purposes. Special category personal data will be destroyed within two months of the end of the course. 5. I can submit a request in writing to ask CCL to delete any data held about me at any time.