Ffurflen Datgan diddordeb Cwrs Nant Gwrtheyrn / Nant Gwrtheyrn course -Declaration of interest form

Enw llawn/ Full name: *

Sefydliad /Organisation: *

Swydd o fewn y Sefydliad / Position within the Organisation: *

Cyswllt e-bost (i gysylltu gyda chi i drafod y cais hwn) / Contact e-mail (to contract you to discuss this application) *

Lefel / Level: *

Canolradd / Intermediate
Uwch / Advanced
Hyfedredd / Fluency (Gloywi)

Pam eich bod yn ymgeisio i fynd ar y cwrs preswyl hwn / Why are you applying to attend this residential course: *

Unrhyw wybodaeth ychwanegol / Any further Information:

Consent for storing submitted data *

Yes, I give permission to store and process my data
No, I don't consent to storing and processing my data