New learner registration form - RQF

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New learner registration form - RQF Please read the following notes carefully before completing this form: This form is for new ABE learners. If you think you might have registered in the past, contact admisssions@abeuk.com for advice about the status of your membership. Please allow 2 weeks for your application to be processed. CC OK FOR ABE USE ONLY IQ PQ PP You can check assessment deadlines here 1. Learner details Title (tick one): Mr Ms Miss Mrs Other (please specify) Are you registered as disabled? Yes No If yes, and you wish to notify ABE of your condition, please tick this box and enclose supporting documentation with this registration application. (Complete clearly in BLOCK CAPITALS - Fields marked with an asterisk* are compulsory) First / Given name* Surname / Family name* Your name in full (as you wish it to appear on the qualification certificate) Date of birth: DD / MM / YYYY* (e.g. 16/03/1995) / / Nationality Full address* Address line 1 Telephone number (include area code) Mobile number (if different) Email address* (ABE can no longer accept generic email addresses for learners) Membership confirmation and course updates are sent directly to your email College name Address line 2 Address line 3 Town Region Country Postcode page 1

Please ensure that your college is accredited by ABE to provide the programme you are registering for, by checking the ABE website. I understand that I am responsible for ensuring the successful enrolment with my ABE Accredited Centre. Please tick this box if you are happy to receive marketing communications from ABE, such as your free members magazine. Please tick this box if you are happy for ABE to share your qualifications data with third parties, this can include your centre and ABE representatives. ABE is committed to protecting your personal information in line with the General Data Protection Regulation (GDPR) and will not share your details with third parties without prior consent. 2. Programmes (tick to indicate your chosen programme and level) Short Awards ABE Level 2 Award in Setting Up Your Own Business 60 ABE Level 2 Award in Employability Skills: Making the Move to Work 60 ABE Level 3 Award in Digital Marketing Essentials for Small Businesses 90 Programmes offered continue onto next page page 2

Business Management ABE Level 3 Certificate in Business Essentials (includes exam fee) 125 ABE Level 4 Foundation Diploma in Business Management 45 ABE Level 4 Diploma in Business Management 45 ABE Level 5 Diploma in Business Management 60 ABE Level 6 Diploma in Business Management 75 Business Management and HR ABE Level 4 Diploma in Business Management and HR 45 ABE Level 5 Diploma in Business Management and HR 60 ABE Level 6 Diploma in Business Management and HR 75 Business Management and Marketing ABE Level 4 Diploma in Business Management and Marketing 45 ABE Level 5 Diploma in Business Management and Marketing 60 ABE Level 6 Diploma in Business Management and Marketing 75 page 3

3. How did you find out about ABE? Student / ABE focus magazine Word of mouth Online network (e.g. Facebook, twitter) ABE representative ABE college Online search engine (e.g. Google, Yahoo!) Advertisement Exhibition or event Other (specify): 4. Unit exemptions If you wish to claim individual unit exemptions because of a previous relevant qualification, please refer to the registration section of the ABE website for information on how to apply, or email exemptions@abeuk.com 5. Payment details Payment must be made by sterling cheque / draft drawn on a UK bank, by postal order (UK only) or by credit / debit card. If paying by cheque / draft / postal order, you must send your application by post only. Registration forms will not be accepted unless accompanied by the correct payment. Any other payment included with the registration fee will be credited to your ABE account. You can only be entered for examinations with the submission of a separate examination entry form. Registration fees will not be refunded after 14 days from the date of registration. In order to retain your membership with ABE, your annual subscription must be paid every year by the renewal date. Registrations must be submitted by post or email along with full, valid payment. I certify I have read this registration form and the information I have provided is true and accurate. By signing this form, I confirm my English language skills are of the appropriate standard (as stated on the Entry advice & guidelines document), I meet the entry guidelines, and I have understood and agree with how the information I have provided will be used. Signature Date (Tick method of payment) I have enclosed cheque / draft no(s): I have enclosed postal order no(s): Deduct from my credit / debit card details below: Total payment submitted with this application: page 4

Credit/Debit card payment form I authorise you to debit my account with the amount of I wish to pay by Visa / Delta / MasterCard / Diners / JCB (please delete as applicable) Card number Expiry date M M / Y Y / SECURITY CODE (last three digits on the signature strip on back of card) You must give the security code for payment to be accepted Complete clearly in BLOCK CAPITALS Cardholder s full name Cardholder s address Address line 1 Address line 2 Address line 3 Town Region Country Postcode Telephone number Email address Cardholder s signature Date Please email or post your registration and payment form. Email admissions@abeuk.com (we cannot accept emails if paying by cheque / draft / postal order) Post ABE, 5 th Floor, CI Tower, St. Georges Square, New Malden, Surrey KT3 4TE, UK Tel: +44 (0) 20 8329 2930 Email: info@abeuk.com page 5