Book Assessment

Assessment Booking Form

Company Details

Customer Account Number

Company Name

Physical Address

Street code

VAT Number

Requested By

Date of Request (eg. dd/mm/yyyy)

Department

Telephone Number

Email Address

Confirm Email Address

I would like my email address to be added to the Bioss database and receive news and updates? Yes No

Date Results Needed (eg. dd/mm/yyyy)

Invoicing Details

Person Responsible for Account Payment

Cost Centre

Does your PO number need to be on your invoice in order for payment to be made? Yes No

PO Number

Invoice To

Postal Address

Postal code

Telephone Number

Fax Number

Email Address

Confirm Email Address

Job Details

Job Title

Level of Job

Reason for Assessment

Candidate Details

Candidate Name

Candidate Birth Date (eg. dd/mm/yyyy)

ID Number

Internal/External

Telephone Number

Email Address

Confirm Email Address

Date of Assessment (eg. dd/mm/yyyy)

Place of Assessment

Time of Assessment

Enter the number of candidates

(Use this field when booking the same assessment battery for more than one candidate)

Your Requirements

Candidate Feedback

Management Feedback

1. Would you like your assessment coordinator to contact you before booking these assessments?

2. Who is Custodian trained in your organisation? What is this?

Additional Comments

Important Note: Cancellation and No-Show Policy

No-shows" and late cancellations will be charged for in full, EXCLUDING the cost of the form.

Cancellations must be made at least 48 hours in advance to avoid incurring fees.

Please tick this box to state that you have read the above "no-show" policy.