Fillable cript Request Form S This form must be (University of Aberdeen)

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cript Request Form S This form must be (University of Aberdeen)

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The cript Request Form S This form must be (University of Aberdeen) form is 2 pages long and contains:

  • 4 signatures
  • 7 check-boxes
  • 31 other fields

Country of origin: UK
File type: PDF

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S
cript Request Form
This form must be returned to The London Institute of Banking & Finance with the relevant payment details no later than four weeks after
the results are released. Forms received after this deadline will not be processed.
All scripts will be annotated and a charge of £12 per script will be invoiced to your centre. Script requests will be processed and emailed
to the centre’s Examination Officer within 10 working days.
The London Institute of Banking & Finance is a registered charity, incorporated by Royal Charter.
YOUR DETAILS
Centre name _______________________________________________________________________ Centre number ___________________________________________
Examinations officer name _________________________________________________________ Contact number __________________________________________
SECTION 1 – CENTRE DETAILS
YOUR DETAILS
If you have more than one student requesting a script with the same permissions, then please complete one form and list all
students below.
Student name ________________________________________________________________________________ Student LIBF number _________________________
Student name ________________________________________________________________________________ Student LIBF number _________________________
Student name ________________________________________________________________________________ Student LIBF number _________________________
Student name ________________________________________________________________________________ Student LIBF number _________________________
Student name ________________________________________________________________________________ Student LIBF number _________________________
Qualification ___________________________________________________________________________________________________________________________________
Unit ____________________________________ Exam session number ____________________________ Exam date ____________________________________
SECTION 2 – STUDENT AND QUALIFICATION DETAILS
YOUR DETAILS
1. I have received permission to request that the student’s script be returned to the centre.
n
2. I have received permission to use the student’s script for teaching purposes.
n
Exams officer signature ________________________________________________Print name ___________________________________________________________
SECTION 3 – PERMISSIONS (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
(£12 per Script Request)
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
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.
n
I understand that the outcome of this result enquiry is final, and may lead to an increase or decrease in total marks awarded.
Examinations officer signature _______________________________________________________________________ Date ___________________________________
Please note that all unsigned forms will be returned and will result in a delay in the processing of your enquiry
SECTION 6 – DECLARATION
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
GT0
9/20
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cript Request Form S This form must be (University of Aberdeen)

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Completed 4 February 2021

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