HRD Registration Form.indd

CIPD Level 5 Intermediate Certificate or
Diploma in Human Resource Development
2014-2015 Registration Form
PLEASE ENTER THE DETAILS OF THE PROGRAMME THAT YOU WOULD LIKE TO JOIN
PROGRAMME
LOCATION
START DATE
PRICE (plus VAT)
NO. OF PLACES
PERSONAL INFORMATION (Please type or use block capital letters)
Title:
Surname (As printed on your CIPD Certificate):
First name (As printed on your CIPD Certificate):
Nationality:
Date of birth (DD/MM/YEAR):
ADDRESS DETAILS
Please tick preferred mailing address:
❑ Home
❑ Business
Home address:
Company name:
Job title:
Business address:
Postcode:
Postcode:
Email address:
Email address:
Home telephone number:
Daytime telephone number:
PAYMENT DETAILS
Please indicate if you or your employer is funding the cost of your programme: ❑ PAYING PERSONALLY ❑ COMPANY PAYING
‘Accounts Payable’ contact details (if your company is paying):
Name:
Job title:
Address:
Email Address:
Daytime telephone number:
Purchase Order Number (if applicable):
MANAGERS DETAILS (please indicate below)
Name:
Address:
Telephone number:
DPG | CIPD Level 5 Intermediate Certificate and Diploma in HR Development (V1)
Email address:
CIPD Level 5 Intermediate Certificate or
Diploma in Human Resource Development
2014-2015 Registration Form
REASONS FOR APPLYING (Please provide a short account of the reasons why you wish to commence this programme)
EDUCATION (Please provide a summary of your key educational attainments)
CAREER HISTORY (Please provide a summary of your previous roles and experience relevant to this programme)
EXTRA DEVELOPMENT (Are you taking part in any other development at the moment or in the future? Please give details)
ADDITIONAL NEEDS (Please provide details of any special needs or essential dietary requirements that you have)
TWITTER USERNAME (Please provide us with your Twitter name if you are happy for DPG plc. to follow you)
RECOMMEND A FRIEND (Were you recommended to this DPG programme by a friend? If so please provide their details below)
Name:
Company:
Address:
DECLARATION
❑ I confirm that the information I have provided to DPG is correct and that I have read all the programme details. I agree that the
programme is the right level for me and to the terms of business set out on page 27.
Signature:
Date:
By signing your name above, you confirm that you have read and agree to the DPG terms of business.
FOR OFFICE USE ONLY
Suitably Confirmed:
Signed:
Comments:
Date:
DPG | CIPD Level 5 Intermediate Certificate or Diploma in HR Development (V1)
Terms of Business
ADDRESS
All correspondence should be addressed to:
DPG plc,
The Ellesmere,
93 Walkden Road,
Manchester, M28 7BQ.
REGISTRATION
All registrations for the CIPD programme must be made on the
official registration form. This becomes a binding contract when
it is signed by the participant. The person who completes the
registration form is considered to be the participant. Where a
company or organisation is also named, they are also jointly and
severally liable with the person who completes the form.
CHARGES AND PAYMENT
The prices quoted are correct at the date of publication. DPG plc
reserves the right to adjust these prices. The company reserves the
right to increase or decrease the charges at its absolute discretion.
SPONSORING EMPLOYERS
On receiving the registration form, an invoice for the full programme
fees will be issued by DPG plc to be paid within 14 days.
SELF-FUNDING PARTICIPANTS
For self-funding participants only, upon prior agreement with DPG
plc payment may be made by initial deposit and installments. Places
are unconfirmed until the requisite deposit has been received.
CANCELLATIONS
Once a completed and signed registration form is received by DPG
plc you have a cooling off period of 7 working days during which
you have the right to cancel your place with no costs incurred.
You must provide notice of cancellation in writing and it must be
dated and posted to DPG plc, 93 Walkden Road, Walkden,
Manchester, M28 7BQ, faxed to 0161 975 7575 or emailed to
[email protected], and you must ensure this is done no later than
7 working days after receiving the confirmation of your place email
from DPG.
It is the participant’s responsibility to ensure the cancellation request
has been received and noted by DPG plc. Once past the 7 day
cooling off period you are committed to your place and for payment
of it. No refunds will be given.
NON-ATTENDANCE
If a participant fails to attend the programme, the full programme
fees are still payable.
DPG FLEXIBLE WORKSHOP ATTENDANCE POLICY
Should there be any difficulty in attending scheduled workshop
events you must notify the CIPD Project Manager to make
arrangements to attend one of our other UK wide workshop events.
This CIPD’s award policy requires you to attend 100% of the
programme’s workshops. We recognise that at times, it may be
DPG | CIPD Level 5 Intermediate Certificate or Diploma in HR Development (V1)
difficult to attend a planned workshop event in your programme.
If this occurs we will look to offer you alternative dates/locations
and you can change to a different workshop event without charge.
All we ask is you request the move at least 7 days before your
scheduled workshop date. If you need to move workshops within
7 days of your scheduled workshop event date you can still do
so. However we do make a small admin charge of £25. This is to
cover our costs for cancelling your place with your original venue
at short notice. You will be asked to pay the £25 fee by debit or
credit card at the time of workshop change.
DEFERRALS
If you defer to a later programme an administrative charge of
£495 plus VAT per person is to be paid at the time of deferral. If
you withdraw from the programme and are paying in installments
the full amount is due immediately.
CANCELLATION OF PROGRAMME BY DPG plc
DPG plc reserves the right to alter or cancel a programme/
published dates at any time without liability. In these circumstances,
you will be offered an alternative programme, a credit note or a
full refund.
CHANGES
DPG plc reserves the right to change the programme scheduled,
facilitators, dates and venues at any time. DPG plc reserves the right
to alter any of the content of the programme without prior notice.
GUARANTEED PASS CONDITIONS
As a participant on a DPG plc CIPD programme, DPG plc
guarantees you will pass the qualification. If you do not meet
the CIPD’s standards within a reasonable timeframe (e.g. within
2 years) DPG will refund your programme fee (excluding CIPD
membership fees) in full. In order to qualify for a refund you must
meet the following two conditions:
■ You must attend every workshop (not necessarily at the same
venue)
■ You must submit all your assessments on or before the dates
outline in your programme timeline.
If you do not to attend every workshop or submit your assessments
on time, DPG plc does not guarantee you will pass.
ASSESSMENT SUPPORT
DPG support for your assessments spans the dates outlined in
your programme timeline. Dedicated support from your DPG
facilitator ceases on the timeline completion date. You will still be
able to submit your assessments after this date and these will be
marked for you (within 2 years from your enrolment). However,
you will incur an additional fee of £17 per CIPD unit for the
unit’s assessment(s). This fee is payable at the time your revised
assessment deadlines are agreed and confirmed.
JOINING INSTRUCTIONS
DPG plc issues joining instructions for your programme 2 weeks
prior to start of the programme.

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