DSA Order Form

To place your order we need a copy of your DSA “approval” letter from Student Finance (the first 4 pages) or a letter confirming your order from your funding body (such as the NHS).



Your Details:


First Name*

Last Name*


Telephone number*

Alternative Telephone number

Your Delivery Address (inc postcode please)*

Address 1*

Address 2





Course Details:

Place of Study (eg Leicester University)*

Course End Date (DD-MM-YYYY)*


Acceptance Letter Details:

Customer Reference Number (CRN)*

Funding Body

If "OTHER" - please specify below:

Avantek Quote Number/Report Reference (if you have one)


Delivery Dates

Please indicate which dates/days/times are usually good for you for delivery or training


Order Upgrades

It is easy and low cost to upgrade your order; simply let us know what you are thinking of and we will let you know how much this will cost


Any other information you think we may need to help process your order


Upload Confirmation Letter

Please upload your Disabled Students' Allowance "DSA" Approval Letter

Attachment 1

Attachment 2

Attachment 3

Attachment 4