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Fax: +44(0)207 2943416

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Dear Sir/Madam Application for Full Technological Diploma Thank you for your recent enquiry, please find an application form attached. Before completing the form, please note the following: Please use block capitals on the application form; You need to make a separate application for each candidate; You need to make a separate application for each award. There is a fee for this service, currently 75.00 per application. A cheque will only be accepted if your cheque guarantee card details are entered on the reverse of the cheque. Payment should be made to City & Guilds at the time of application. Payment may also be made by credit or debit card, by completing the form provided. Please read carefully the notes accompanying the application form. Please allow a minimum of three weeks for the processing of the application. Please send completed application forms to: Archive Services, City & Guilds, 1 Giltspur Street, London EC1A 9DD, or fax the application form to +44 (0) 207 294 3416 or email to ASapplications@cityandguilds.com. You may contact Customer Relations for any queries relating to your application. Customer Relations telephone (UK customers): 08445430033 Customer Relations telephone (International customers): +44(0) 2072942885 Yours faithfully Archive Services

Application for Full Technological Diploma Use one form per award. This form may be photocopied

PLEASE COMPLETE IN CAPITAL LETTERS

Candidate name as it appears on the certificates at the time of issue First Name

Last Name

Male Female Gender Date of birth

Contact details Address

Post code

Daytime telephone

Mobile telephone

e-mail

I am applying for a Full Technological Diploma in the following subject (please tick)

Telecommunications and Electronics Engineering

Motor Vehicle Engineering and Management

Information Technology

Telecommunication Systems

Mechanical Engineering Electrical and Electronic Engineering

Construction

I enclose Photostats of diploma and advanced diploma certificates

Letter from each employer confirming claimed work experience

Summary of relevant work experience plus CV

Completed referee letter with company stamp (provided with application form)

Details of courses or other professional development/training undertaken (if appropriate)

Completed Payment Form

Signature of applicant .............................................................. Date ..................................... Notes on the Full Technological Diploma

To be eligible for the Full Technological Diploma the candidate must meet the following criteria: Candidate must supply copies of and have achieved a Technicians Diploma (applied) and Advanced Technician Diploma (applied) in one of the following awards (except 2720)

2720 Telecommunications and Electronics Engineering 2730 Telecommunication Systems - (applied) 8030 Electrical and Electronic Engineering (applied) 3905 Motor Vehicle Engineering and Management (applied) 2565 Applied Mechanical Engineering 6165 Construction (applied) 7235 Applied Information Technology

These diplomas must have been awarded by City & Guilds. Candidate must supply a portfolio of evidence which must include

1. A summary of the candidates work experience at least two years work experience at a level appropriate to the advanced diploma syllabus

2. Letters from each employer confirming the candidates work experience at supervisory level

3. A Curriculum Vitae (CV) The portfolio may include any other information which the candidate considers relevant. Candidates are requested to take the utmost care to ensure that the details entered on this form are accurate to avoid delays in issuing the FTD. Return completed application form along with payment to: Archive Services, City & Guilds, 1 Giltspur Street, London EC1A 9DD.

Dear Sir/Madam Reference for ___________________________________________________ The above named has applied for a City & Guilds Full Technological Diploma and has given your name as a professional referee. As a referee you are asked to briefly outline and comment on the quality of his work, but most importunely City & Guilds require information on his Supervisory experience. Please can you complete and return the attached proforma by return either by post/email. This must include the Company Stamp. Reference for _______________________________________________ in support of an application for the City & Guilds Full Technological Diploma Referees Name .Position . Organisation Relationship to Referee Please outline your understanding of the work experience of the above. Please ensure that you cover the following criteria: 2 years work experience at an advanced level Details of any professional development/training undertaken Comment on Supervisory experience .. .. .. .. .. .. .. .. Signature & Official Stamp Date

Application for Full Technological Diploma Payment details for credit or debit card

Cardholders details First Name

Last Name

Telephone number

MasterCard Card type (please tick) Visa Delta Switch/Maestro Card number

Valid from

Expiry date

Issue number (if applicable)

Amount authorised

Cardholders signature

For City & Guilds use only