Paul
This looks to be more complex than I've had to do and you may well be 
way ahead of me on this, but in case not...here goes. ):p

Detail band - Name Address - Master Report
SubDetail - Course Info  - Master = Report
SubDet - Course Details - Master = Report
        SubDet - Subject - Master = Course SubDet
SubDet - Education - Master = Report
        SubDet - Exam - Master = Education SubDet
                SubDet - Subject - Master = Exam SubDet
SubDet - Ethnicity -  Master = Report
SubDet - Medical - Master = Report

I think the structure will be something like this. 

You can then treat each SubDet as a mini report with it's own hierachy 
of group headers and footers (if the dataset has an Order by clause).

Hope that helps, or if not,  that it promts someone who CAN help to give 
it a try!  

Mark

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