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{{Vaping Products Duty Consultation
{{#CI form:
|Full Name=Richard Pruen
| email-to = "richard@pruen.co.uk"
|Email Address=richard@pruen.co.uk
| title = contact details
|Address=41 Worston lane, burnham on sea
| data-access = "sysop"
|Are you a business=No
|
|Are you a an organisation=No
{{#CI form section: type = inputs
| [first and last name] *
| [email=email] *
| [phone=tel]
}}
|
{{#CI form section: type = inputs
| title = address
| address [] *
| address 2 []
| city [] *
| Post code [] *
| country [] *
}}
|
{{#CI form section: type = multiple choice
| title = What product do you use primarily?
| Vape
| Vape and Cigarettes
| Never used either
| Ex-Cigarette user
| Let me explain []
}}
{{#CI form section: title = Select your preferred IT course
| type = inputs
| [Please chose one=select=PHP and Mysql, Node.js\, Vue.js\, React, Mediawiki and Gerrit ] *
}}
{{#CI form section: type = multiple choice
| title = how will you undertake your work if you are selected? (up to 3 answers allowed)
| type = multiple choice
| max answers=3
| I will work scrupulously
| I will work meticulously
| I will pretend to work
| I will delegate all my work to my sister
| I will work seriously
}}
|
{{#CI form section: type = cloze test
| title = Put the right word in each sentence to prove you are human
| suggestions = pencils, cats, dogs, car, house, pizzas
| * There are three [pencils] on my table
| My [] is pretty fast
| My [] barks a lot but welcomes thieves equipped with sausages
| I love [] because they say "meeeooow"
| I'm able to eat 4 [] at any time
| My [] has 3 swimming pools and a bowling lane, are you envious ?
}}
}}
}}
[[Category:Vaping Products Duty Consultation]]