Please complete the following information and submit this form as soon as possible to accept your place on the programme. Personal InformationTitlePlease select...MrMrsMsMxSirDameDrCllrLadyLordOtherPlease Specify(Required)Surname or Family Name(Required)Other Names (in full)(Required)Email Address(Required) How are you Funding the Programme Fees?(Required) Employer Paying Self-Funding Billing name and address for invoice purposes(Required)Billing name, address and email for invoice purposes(Required)Postcode(Required)Postcode(Required)If outside the UK please provide the organisation's VAT or equivalent tax reference number to be invoiced without UK VATAre you wishing to use the instalment plan?(Required) No Yes Payment of Fees Invoices will be issued before the start of the programme. Unless an individual payment plan has been agreed, the total fee is payable prior to the beginning of the programme. If on an individual payment plan, students must be up to date with their agreed payment schedule for marks to be considered by an exam board. Students are solely responsible for ensuring the payment of fees by the due date. Where payments are not maintained, the student may be withdrawn from the programme. In the event of cancellation or withdrawal, the following refund policy will come into effect: Cancel before the start of the programme100% refund of full fee Cancel within 4 weeks of the start of the programme80% refund of full fee Cancel before/at the PG Cert 60 credit point40% refund of full fee Cancel before/at 90 credit point25% refund of full fee Cancel before/at the PG Dip 120 credit point10% refund of full fee Cancel after the PG Dip 120 credit pointno refund available Δ