CIPFA - Education and Training Centre - Student Registration Form

\CETC

CETC Location

CETC Location

Students who just wish to enrol for printed materials only e.g. Study materials (Workbooks), CIPFA Exam Essentials, should select CETC South East as your location.

Student Details

First Name*

Surname*

CIPFA Student No (if known)

Date of Birth*

Work Email*

Home Email*

Work Tel No*

Mobile No*

CIPFA Achievement to Date

Please state any relevant qualifications e.g AAT, ACCA:*

Please list any PQ exemptions you have applied for been granted by CIPFA*

Please list all CIPFA PQ modules passed to date*

Please list any CIPFA PQ modules you have sat examinations for and for which you are awaiting results*

Sponsor Details

Progress Reports Officer - to be completed by students attending main day/block courses only

Name*

Address

Address Line 2

Address Line 3

Address Line 4

Address Line 5

Postcode

Tel No

Email Address

Please note that the person named as the progress reports officer above will be sent formal notification of your in-course assessment results (e.g. progress tests and mock examinations) and your attendance records during your course.

If you do not wish reports of this nature to be sent to a third party please put “N/A” beside “Name” above.

Employer Meetings

Name*

Address

Address Line 2

Address Line 3

Address Line 4

Address Line 5

Postcode

Tel No

Email Address

Payment of Course Fees

Employer Sponsored - Addressee for Invoicing

Name:

Job Title:

Organisation:

Dept:

Address:

Address Line 2:

Address Line 3:

Address Line 4:

Address Line 5:

Postcode:

Purchase Order Number: (Please indicate N/A if your organisation does not use POs)

Tel No:

Email:
(If shared service is been used for invoicing, please indicate email address of person authorising fees)

Self Funding

If you are self–funding, please tick here – you will be contacted by a member of the team on receipt of enrolment to confirm payment details

Responsibility for payment

I confirm that the above named accepts responsibility for the appropriate course fees, in accordance with CIPFA Education & Training Centre fees policy (For full fees policy click here)

Please note that confirmation of enrolment will be sent to the employers of students who are being sponsored by their organisation so that authorisation for course fees can be verified.

Data Protection

The information I have given on this form is correct.
I agree to the processing of personal data contained in this form, or other data which CETC may obtain from me or other people, whilst I am a student.
I agree to the processing of such data for any purposes connected with my studies or for any other legitimate reason.
CETC will obtain your exam results from CIPFA following each examination sitting for the purpose of determining group pass rates and offering academic advice/guidance where requested. Individual results will not be shared with your employer or any other 3^rd parties.

Please tick here to confirm acceptance of above statements

Click submit to go to page 2 of the enrolment form to select your courses/materials