2014 examination entrance form v5!1!10 dec 13

7/21/2019 2014 Examination Entrance Form v5!1!10 Dec 13

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©LEEA Global Examination Entrance Form v5.0 (10 December 2013)

3 Osprey Court Tel: + 44 (0) 1480 445449 (Exams)Kingfisher Way Fax: + 44 (0) 1480 436314Hinchingbrooke Business Park E-mail: [email protected] Website: www.leeaint.comPE29 6FNUnited Kingdom Chief Executive: Geoff Holden

2014 Global Examinations

(Entrance Form)

The LEEA will be facilitating 4 global examination dates during 2014. All examinations

will be available on each of the following dates:

2014

February (A)

May

(B)

August

(C)

November

(D)

Examination Date 19th February 21st May 20th August 19th November

Closing date for entrance forms 22nd January 23rd

April 23rd July 22nd

October

Examination Venues (UK)

(Venue 1)

LEEA

3 Osprey Court, Kingfisher Way,

Hinchingbrooke Business

Park,

Huntingdon PE29 6FN

HUNTINGDON HUNTINGDON HUNTINGDON HUNTINGDON

(Venue 2)

Sheffield Park Hotel

Chesterfield Road South

Sheffield, South Yorkshire S8 8BW

SHEFFIELD SHEFFIELD SHEFFIELD

(Venue 3)

The Station Hotel, 78 Guild Street,

Aberdeen AB11

6GN

ABERDEEN ABERDEEN

(Venue 4)

City of Glasgow College,

Seminar B,

60 North Hanover Street Campus,

Glasgow G1 2BP

GLASGOW GLASGOW



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2014 February (A) May (B) August (C) November (D)

Examination Date 19th February 21st May 20th August 19th November

Closing date for entrance forms 22nd January 23rd

April 23rd July 22nd

October

Overseas

(Venue 5)

British Council Cairo

Examination Services

192 El Nil Street

Agouza, Cairo, Egypt

CAIRO, EGYPT CAIRO, EGYPT CAIRO, EGYPT CAIRO, EGYPT

(Venue 6)

Higher Colleges of Technology,

Dubai Women’s

Campus,

PO Box 16062, Dubai,

United Arab Emirates

DUBAI

DUBAI

DUBAI

DUBAI

(Venue 7)

British Council Abu Dhabi

Villa No. 7, Al Nasr Street

Khalidiya, P O Box 46523

Abu Dhabi

United Arab Emirates

ABU DHABI ABU DHABI

(Venue 8)

Holiday Villa Hotel & Residence

City Centre Doha

Al‐Muntazah

Doha, Qatar

QATAR QATAR QATAR QATAR

(Venue 9)

British Council Oman, Road One,

Madinat Qaboos, Postal Code 115,

Sultanate of Oman

OMAN OMAN

(Venue 10)

British Council Port Harcourt,

Plot 127 Olu Obasanjo Road,

Off Waterlines Junction,

Port Harcourt, Rivers State, Nigeria

NIGERIA NIGERIA NIGERIA NIGERIA



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Instructions

Please complete the required fields below, clearly indicating the examination that you wish to take and the required

examination date:

Date of Birth ‐ (COMPULSORY ‐ If not completed will be returned):

Candidate’s full name:

Candidate's Company:

Individual Trainee Reference Number (where applicable):

On‐Line / Postal Students (Enter your student number here) ‐ COMPULSORY:

Examination Date (A, B, C or D) Venue Examination £ GBP

Example A 2 Part 1 Entrance

(09.30 ‐ 10.30am) £125.00

Part 1 Entrance

(09.30 ‐ 10.30am)

Lifting Equipment General

(2.00pm ‐ 4.00pm)

Lifting Machines Manual

(11.00am ‐1.00pm)

Lifting Machines Power

(11.00am ‐ 1.00pm)

Runways & Light Crane Structures

(2.00pm ‐ 4.00pm)

Offshore Containers (see * below)

(2.00pm ‐ 4.00pm)

Overhead Travelling & Portal Cranes

(11.00am – 1.00pm)

TOTAL COST £

Bookings will be allocated on a first come, first served basis. To this extent, please ensure that this booking form is

fully completed as it will be returned to you if any information is missing or incorrect and your booking will not be

allocated.

Upon receipt of fully completed exam forms, you will receive an e‐mail acknowledgement from the Association.

Should your chosen examination date be fully booked, we will automatically schedule you to the next scheduled

examination date. If you would prefer that we do not offer this facility, please tick this box



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Employer’s Declaration (TO BE SIGNED BY EMPLOYER ONLY)

I hereby certify that this candidate is eligible to sit the examination(s).

Signed _____________________________________________ Date _________________________________________

Name ______________________________________________ Title _______________________________________

e‐mail

address

_____

Employers of candidates with learning difficulties, e.g. Dyslexia, should make LEEA aware at the time of completing

this form by providing a brief explanation of their difficulty in the box below.

Individual Trainee Declaration (TO BE SIGNED BY REGISTERED INDIVIDUAL TRAINEES ONLY)

I hereby certify that I am registered under the Individual Trainee programme and eligible to sit the examination(s).

Signed _________________________________________

Date

__________________________________________

Name ___________________________________________ Title ___________________________________________

e‐mail address _____

Guidance

1. All parts of the Examination Entrance Form are to be completed. In particular it is ESSENTIAL that the EMPLOYER'S

DECLARATION or INDIVIDUAL TRAINEE DECLARATION is signed.

2. The completed Examination Entrance Form should be forwarded to LEEA either by post or e‐mailed to

[email protected] and

must

be

received

before

the

closing

date.

3. Credits will not be given to members if we are notified of any cancellation within 28 days of your chosen

examination. Individual Trainees will not receive a refund for any cancellation once the examination has been

booked.

4. All completed Examination Entrance Forms must be forwarded to LEEA as separate pdf/word documents as each

form is stored individually against the employee’s LEEA database record. Each pdf/word document can be

attached to one covering e‐mail.

5. Any request received to change an examination booking may be accepted up to 14 days prior to the exam and

changes will be subject to an administration fee of £50 per candidate. PLEASE NOTE THAT NO CHANGES WILL BE

ACCEPTED AFTER THE 7 DAY PERIOD LEADING UP TO AN EXAM, CANDIDATES WILL BE MARKED AS ABSENT FROM

THE EXAM AND NO REFUND WILL BE GIVEN.

6. Diploma certificates will not be sent to any delegate unless the Part 1 Entrance Examination has been passed.

7. Force Majeure ‐ neither LEEA or the member/individual trainee shall be liable to the other for any failure to

perform any part of the agreement which is due to an event beyond the control of either party, including but not

limited to terrorism, war, Political insurgence, strike, riot, civil unrest, act of civil or military authority, uprising,

earthquake, flood or any other natural or man‐made eventuality which may cause the termination of the event.

8. All certificates, Diplomas and Team Cards (where applicable) will be sent to the company training contact once

payment in full has been received for the examination fees. Subject to annual subscription fees having been paid.

9. Feedback will

not

be

offered

to

any

company/candidate

regarding

examination

results

unless

in

exceptional

circumstances (to be decided by TM/STO). LEEA is also unable to release any examination papers or send any

extracts of information from them to companies or Individual Trainees.



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MEMBERS ‐ Examination Fees per subject ‐ (prices are inclusive of VAT)

Please ensure that the correct price is inserted on page 3 of this form otherwise it will be returned.

UK Examinations Overseas Examinations

Part 1 Entrance £90.00 £125.00

Lifting Equipment General £90.00 £125.00

Lifting Machines Manual £90.00 £125.00

Lifting Machines Power £90.00 £125.00

Runways & Light Crane Structures £90.00 £125.00

Offshore Containers £90.00 £125.00

Overhead Travelling & Portal Cranes £90.00 £125.00

BUSINESSES OUTSIDE THE EU ARE EXEMPTED FROM THE VAT ELEMENT CHARGED IN THE ABOVE OVERSEAS

EXAMINATION PRICES

ie.

£104.17.

INDIVIDUAL TRAINEES ‐ Examination Fees per subject ‐ (prices are inclusive of VAT)

Please ensure that the correct price is inserted on page 3 of this form otherwise it will be returned.

UK Examinations Overseas Examinations

Part 1 Entrance £112.50 £156.25

Lifting Equipment General £112.50 £156.25

Lifting Machines Manual £112.50 £156.25

Lifting Machines Power £112.50 £156.25

Runways & Light Crane Structures £112.50 £156.25

Offshore Containers £112.50 £156.25

Overhead Travelling & Portal Cranes £112.50 £156.25

Method of Payment

* MEMBERS: Members of the Association will be invoiced, please provide us with a purchase order number

below.

Purchase order number:

INDIVIDUAL TRAINEES:

* Payment by credit or debit card – Please complete the following form and return it by fax to the LEEA. For

security reasons please do NOT return it by e‐mail.



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INDIVIDUAL TRAINEE

CREDIT/DEBIT CARD SUMMARY PAYMENT FORM

This form must be completed and returned to LEEA by fax only

Fax back to + 44 (0) 1480 436314

PLEASE USE BLOCK CAPITALS AND COMPLETE ALL SECTIONS OF THE FORM

Full Name

__________________________________________________________________________

Address

Please complete the details below. Card type (tick appropriate box). A surcharge of £3.50 is applicable

to credit card transactions. If no card type indicated the surcharge will automatically be applied.

MasterCard

Visa Electron

Solo

American

Express

Visa Credit Maestro JCB Visa Debit

If you do not wish to provide your card details in writing, please contact the LEEA office to provide details

verbally.

Card number: ________________________________________________________

Security code (last 3 digits in signature box) ____________

For Maestro and Solo cards the issue number or start date:

Cardholder’s name and initials:

Card expiry date: ___ / ___

Cardholder’s signature

2014 examination entrance form v5!1!10 dec 13

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