Fillable Certificate Replacement Request Form (University of Aberdeen)

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Certificate Replacement Request Form (University of Aberdeen)

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The Certificate Replacement Request Form (University of Aberdeen) form is 2 pages long and contains:

  • 3 signatures
  • 8 check-boxes
  • 29 other fields

Country of origin: UK
File type: PDF

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Certificate Replacement Request Form
This form is only for Financial Capability qualifications (taken
at schools and colleges). For any other type of qualification, please see the
relevant pages on our website: libf.ac.uk.
When requesting a replacement certificate, please complete this form in full and return to The London Institute of Banking & Finance with
the original certificate (if applicable) and the relevant payment details. The cost of a replacement certificate is £48.00 per certificate.
Please return this form to fcexams@libf.ac.uk or to The London Institute of Banking & Finance, 4-9 Burgate Lane, Canterbury, Kent. CT1 2XJ
The London Institute of Banking & Finance is a registered charity, incorporated by Royal Charter.
YOUR DETAILS
Centre name _______________________________________________________________________ Centre postcode __________________________________________
Examinations officer name _________________________________________________________ Contact number __________________________________________
SECTION 1 – CENTRE DETAILS
YOUR DETAILS
Student name ________________________________________________________________ LIBF number ________________ Date of birth ___________________
Qualification ____________________________________________________________________________________________________________________________________
Unit (if applicable)_____________________________________________________________ Year completed ________________________________________________
Address for delivery _____________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
SECTION 2 – STUDENT AND QUALIFICATION DETAILS
YOUR DETAILS
n
Original certificate has been lost / stolen / damaged
Please explain circumstances ______________________________________________________________________________________________________________
n
Original certificate is incorrect
Please provide details _____________________________________________________________________________________________________________________
n
Did not receive an original
n
Name has changed - please enclose proof of name change
Please provide previous and new name ___________________________________________________________________________________________________
SECTION 3 - REASON FOR REQUEST (PLEASE 3)
YOUR DETAILS
Please tick one payment option:
n
I enclose a cheque for the total amount payable
n
I would like the centre to be invoiced for the total amount payable (requires an Examination Officer signature)
_____________________________________
n
I authorise The London Institute of Banking & Finance to debit my Visa / MasterCard / Switch Card for the total amount payable
(£48.00 per certificate)
Card number
______________________________________________________
Name on card
_____________________________________________________
Expiry date
_________ /_________ Valid from _________ /_________ Issue number _______(if applicable) Security number
***
_________
Cardholder signature ______________________________________________ Date _____________________________________________________
Address and postcode of cardholder:
___________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
***
This is the last 3 digits found on the signature strip on the reverse of your card.
SECTION 4 - PAYMENT DETAILS
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YOUR DETAILS
We will process your data in accordance with the principles of the UK Data Protection Act (1998). By supplying your address and email
details you are giving your consent for us to contact you in any of these ways in regards to this request.
n
I declare that the information contained in this form is true and accurate, consent to the processing and use of personal data as
outlined in the Privacy Notice and accept our terms and conditions.
Examinations officer / student signature* ____________________________________________________________ Date ___________________________________
Please note that all unsigned forms will be returned and will result in a delay in the processing of your enquiry
*delete as applicable
SECTION 6 – DECLARATION (TO BE COMPLETED BY THE STUDENT IF NO LONGER STUDYING AT THE CENTRE)
YOUR DETAILS
We will use and protect your personal data in accordance with current data protection legislation to evaluate your claim. Further details,
including your rights, the disclosure of data to third parties, storage, retention and how to amend your personal data, can be found within
our Privacy Notice (www.libf.ac.uk/privacy)
SECTION 5 – YOUR PERSONAL DATA
LC07/19
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Certificate Replacement Request Form (University of Aberdeen)

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Completed 4 February 2021

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