T
ranscript and Certificate Application Form
Before completing this form you should read the Higher Education Certification Policy.
Please save a copy of this form to your computer and complete it on-screen before emailing it to certificate@libf.ac.uk
Alternatively, you can print a copy to complete in BLOCK capitals and scan and email it to certificate@libf.ac.uk or post to:
Quality, Policy & Regulation, The London Institute of Banking & Finance, 4–9 Burgate Lane, Canterbury, Kent CT1 2XJ United Kingdom
The London Institute of Banking & Finance is a registered charity, incorporated by Royal Charter.
YOUR DETAILS
LIBF number (note 1) ___________________________________________________________________________________________________________________________
Title (Mr / Mrs / Ms etc) ______________ First name(s) / Given name(s) ________________________________________________________________
Last name / Family name _______________________________________________________________________________________________________________________
Previous name
(Please tell us any previous names you have used that would help us link this registration to any other records we may hold for you)
_____________________________________________________________________________________________________________________
Date of birth
(Note 2) _____________________________________________________ Gender Male
n
Female
n
Preferred email address _______________________________________________________________________________________________________________________
Please provide a telephone number we can use to contact you if necessary:
Telephone no
(Note 3). ________________________________________ Mobile no. (if different from Telephone no.) _________________________________________
Home address ________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
Postcode / Zipcode
_____________________________________________________ Country ____________________________________________________________
SECTION 1 - YOUR DETAILS
YOUR DETAILS
Award
___________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
Date ____________________________________________________________________________________________________________________________________________
SECTION 2 TRANSCRIPT
(NOTE 4)
YOUR DETAILS
Re-issue of award certificate (note 5)
Name of award __________________________________________________________ Date of award _______________________
Name of award __________________________________________________________ Date of award _______________________
Name of award __________________________________________________________ Date of award _______________________
Name of award __________________________________________________________ Date of award _______________________
Please complete Section 4
SECTION 3 CERTIFICATE
YOUR DETAILS
Please tick / complete the appropriate boxes
1. My original certificate has not been received within
60 working days
(note 7)
n
2. My original certificate has been lost / stolen (note 8)
payment required
n
3. I did not receive a certificate for the qualification noted
at section 4 and confirm that:
(note 9)
n
I changed my address or employer without advising
The London Institute of Banking & Finance whilst
studying – payment required
n
I notified The London Institute of Banking & Finance
prior to the date of issue of the certificate of my change of:
Address on (date)
nn
/
nn
/
nnnn
Employer on (date)
nn
/
nn
/
nnnn
I have contacted my previous employer to obtain the
certificate but they do not have it
n
4. My certificate is incorrect (note 10)
n
The correction required is:
–––––––––––––––––––––––––––––––––––––––––––––––––––––––
–––––––––––––––––––––––––––––––––––––––––––––––––––––––
I notified The London Institute of Banking & Finance of this
error on receipt of:
My registration confirmation letter dated
nn
/
nn
/
nnnn
My record of achievement letter dated
nn
/
nn
/
nnnn
The original certificate must be returned with your application
5. My certificate has been damaged
(note 11)
n
In transit
n
After receipt – payment required
n
Please describe the damage:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
The original certificate must be returned with your application
6. My name has changed and I enclose:
(note 12)
payment required
n
Marriage certificate
n
Deed poll
n
The original certificate must be returned with your application
7. Other
(note 13) – payment required
n
Please explain why you are asking us to issue another certificate
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
SECTION 4 REASON FOR REQUESTING A NEW
CERTIFICATE
(NOTE 6)
YOUR DETAILS
TOTAL PAYABLE £ ____________
Payment options
n
Please send me an invoice
n
I enclose a cheque for the total payable, made payable to
The London Institute of Banking & Finance
n
I will pay by bank transfer (ensuring all bank charges
are covered)
n
I authorise The London Institute of Banking & Finance to
debit my Visa / MasterCard / debit card for the total payable
Card number
nnnn nnnn nnnn nnnn
Expiry date
nn
/
nn
Valid from
nn
/
nn
Issue number
nnn
(if applicable) Security number*
nnn
Signed (note 15)______________________________ Date _________________
*
This is the last 3 digits found on the signature strip on the reverse of your card.
Bank transfer information (please provide your details with the
transfer so we can trace your payment):
Account Name: The London Institute of Banking & Finance
Account Number: 10514632
Sort Code: 20-18-00
International Bank Account Number (IBAN): GB83 BARC 2018
0010 5146 32
SWIFTBIC (Bank Identifier Code): BARCGB22
SECTION 5 PAYMENT DETAILS
(NOTE 14)
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 have read the Higher Education Certification Policy and
understand it.
Signed
(note 16)______________________________ Date _________________
Please note that unsigned forms will be returned and will result in a delay in the
processing of your request
.
SECTION 7 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 6 PERSONAL DATA
Your details
Date form received _______________________
Checked by______________________________ Date___________
Correct payment of £ ______________
Received and processed? Yes
n
No
n
Request checked against policy
n
Request rejected by _____________________ Date___________
Because _________________________________________________
Request approved by _____________________ Date___________
Transcript Issued on___________
Certificate number ___________________ Issued on___________
Transcript/certificate sent to student by_______________________
OFFICE USE ONLY
Guidance notes for completion of Transcript and Certificate Application Form
Please read these notes carefully in conjunction with the Higher Education Certification Policy.
Section 1 – Contact details
Note 1 – LIBF number
This number can be found on the confirmation letter that you will have
received when you initially registered with The London Institute of Banking &
Finance. The number is prefixed by one letter. Members can find their LIBF
number on their Alumni membership card.
Note 2 – Date of birth
Your date of birth must be included on the form so that we are able to
confirm your identity when processing your request.
Note 3 – Daytime telephone number
In order for us to deal effectively with your request, a daytime contact
telephone number is required. If we do not have this information a delay
may occur in us being able to process your application.
Section 2 – Transcript
If you are requesting a Record of Achievement you should complete this
section and then Section 5.
Note 4 – Please tell us the award for which you require the Transcript and
the date of award or the last module of the award you have taken.
Section 3 – Certificate
If you are requesting a certificate you should complete this section and then
Section 4.
Note 5 – Re-issue of award certificate
Please tell us which award certificate(s) you need to have re-issued. Please
refer to the Higher Education Certification Policy for the circumstances that
are acceptable reasons for re-issue of award certificates. You must now
complete Section 4.
Section 4 – Reason for request
Note 6 – Reason for request
This section only needs to be completed if you are asking us to re-issue a
Transcript or certificate. There must be a good reason to do this.
Note 7 – Certificate not received
If you have not received your original certificate within a maximum of 60
working days of the award being officially confirmed. A fee is not required.
Note 8 – Certificate lost / stolen
Please give us as much information as you can about the circumstances that
have resulted in your application if not one of the specific situations
described. A fee is required for the replacement.
Note 9 – Certificate not received
Students are required to keep us informed of any change of address. If you
did not tell us about your move before your certificate was issued there will
be a fee to pay.
Note 10 – Changes advised but not recorded by us
If you told us about a change and we did not record it then we will issue
another certificate without payment. Payment is required if you did not
inform us of the change before the issue of the certificate. Please make sure
that you return the original certificate with the application, as we will not
issue the new one until it is received.
Note 11 – Certificate damaged
If your certificate was damaged in transit, please return it with the form for a
free replacement. If your certificate has become damaged after receipt,
please return it with the form and replacement fee.
Note 12 – Change of name
Please return your certificate with the original or certified copy of your
marriage certificate or deed poll together with the replacement fee.
Note 13 – Other
If there is another reason for your request please describe it here. Please
check that it is valid in accordance with the Higher Education Certification
Policy.
Section 5 – Payment details
Note 14 – Y
ou may pay by credit / debit card, cheque or bank transfer. If you
use a debit card please make sure that you quote the card number (not your
account number) together with the issue number.
Note 15 – Signature of cardholder
If the card you use is not your own, please ensure that the card owner signs
Section 6.
Section 7 – Declaration
A simple declaration is included at the end of the form to confirm that the
information that has been given is correct and true.
Note 16 – Signature
You must sign the application form. Forms that are not signed will be
rejected and returned.
Please save a copy of this form to your computer and complete it on-screen
before emailing it to certificate@libf.ac.uk
Alternatively, you can print a copy to complete in BLOCK capitals and scan
and email it to us or post to
Quality, Policy & Regulation,
The London Institute of Banking & Finance,
4–9 Burgate Lane,
Canterbury,
Kent CT1 2XJ
United Kingdom
MR04
/19
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome