CIPD FOUNDATION & INTERMEDIATE BOOKING FORM For ... - BPP

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For UK and International students. COURSE ... In Centre Face-to-Face ... CIPD Intermediate Certificate in Human Resource Management Jan/Apr/Jul/Oct.
CIPD FOUNDATION & INTERMEDIATE BOOKING FORM For UK and International students

PERSONAL DETAILS

AUTHORISATION TO INVOICE EMPLOYER

/MM /

Date of Birth *Required D D

Title

Y Y Y Y

First name

Company name Company billing address/DX

Last name Correspondence and delivery address/DX Town/City

Postcode

Authorising manager Town/City

Daytime tel.

Job title

Postcode

PO Number

Email

VAT registration no.

Daytime tel.

Authorising signature*

Signature*

Accounts Payable tel.

Student No. (if known)

Accounts Payable email

Exam body registration No.

Employer to be notified of exam results and absences

Please tick as applicable below: Self-funded

Employer funded

Government funded via apprenticeship Up to 100% funding for training is available subject to terms and conditions. If the student is 19 years old or over, an employer contribution is required; Age: Level 5 16-18 £0 19-23 £1500 24+ £4500

To be eligible the trainee must: • be working 30+ hours per week • have a contract of employment • not be an apprentice with another training provider/hold a level 4+ qualification For full criteria see www.bpp.com/apprenticeships

Do you have any special needs/disability that may affect you in the event of a building evacuation whilst you are on BPP premises? Yes

No

(If yes, please arrive for the start of the first day of your course 15 minutes early to allow for the local site Health & Safety Officer to complete the necessary evacuation procedure and assessments with you.)

COURSE DETAILS Programme/course, qualification/level, paper(s)

Start date (please circle) Study option

Workshop location (1 per programme)

Price (£)

In Centre Face-to-Face + Online Learning

London

Manchester

£2200+VAT

CIPD Foundation Certificate in Learning & Development Practice Jan/Apr/Jul/Oct

In Centre Face-to-Face + Online Learning

London

Manchester

£2200+VAT

CIPD Intermediate Certificate in Human Resource Management Jan/Apr/Jul/Oct

Online Classroom Live

Birmingham

London

Manchester

£2800+VAT

CIPD Intermediate Diploma in Human Resource Management

Jan/Apr/Jul/Oct

Online Classroom Live

Birmingham

London

Manchester

£3300+VAT

Higher Apprenticeship in Human Resource Management

Jan/Apr/Jul/Oct

Online Classroom Live

Birmingham

London

Manchester

Aged 16-18 £0 Aged 19-23 £1500 Aged 24+ £4500

Jan/Apr/Jul/Oct

CIPD Foundation Certificate in Human Resource Practice

Total:

PAYMENT (if not funded by employer) BY CHEQUE

Please enclose cheque made payable to BPP Professional Education

BY CARD

VISA

MasterCard

Card holder’s name

Grand total

Save these card details for next time If you would like to register these card details with us to facilitate future orders, please tick here. Your card details will be held securely by BPP and/or our third party payment service providers and, unless you tell us otherwise, we will use this card for payments in connection with this and any future BPP order.

Card holder’s address

Postcode

Town/City

SEND TO

Card holder’s signature* Date D D

/M M / Y

BPP Professional Education Tel: 0845 226 2422 /+44 (0) 161  244  6300 Email: [email protected] Fax: +44 (0) 161 237 9650 5th Floor Boulton House, Chorlton Street, Manchester, M1 3HY

Y Y Y

Card number Security code (last three digits on back of card) Valid from M M

/Y

Y

Expires M M

/Y

Y

*Note: By signing this form you are agreeing to our Terms & Conditions as stated on our website. To read the full Terms and Conditions go to bpp.com/terms November 2013