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REGISTRATION FORM ISAS & IQIPS PREPARATION FOR ACCREDITATION WORKSHOP Please tick preferred option below Attendance at scheduled workshop as part of TLR Refundable package - 2 free places free of charge Attendance at scheduled workshop @ £295.00 + VAT per person Local workshop – organisation to provide venue – as part of TLR refundable package @ £197.00 plus VAT ( Per service) Local workshop – organisation to provide venue – £547.00 plus VAT (Per service) For a scheduled workshop please indicate preferred date here: ________________ In the event that your preference of workshop is not available, we will contact you to discuss the next best available option. If you have chosen a local workshop then an Assessment Manager will contact you directly to arrange a suitable date and time. ORGANISATION DETAILS Name of Organisation Address & Postcode Telephone Email ORGANISATION REPRESENTATIVES (attending workshop) Name Name 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HR Tel: +44 (0)1784 429000 www.ukas.com Registered Office: 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, Middlesex, TW18 3HR. Registered in England as a company Limited by Guarantee No. 3076190 F473 Issue No: 1 Page 1 of 2

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REGISTRATION FORMISAS & IQIPS PREPARATION FOR ACCREDITATION WORKSHOP

Please tick preferred option below

Attendance at scheduled workshop as part of TLR Refundable package - 2 free places free of charge

Attendance at scheduled workshop @ £295.00 + VAT per personLocal workshop – organisation to provide venue – as part of TLR refundable package @ £197.00 plus VAT ( Per service)Local workshop – organisation to provide venue – £547.00 plus VAT (Per service)

For a scheduled workshop please indicate preferred date here: ________________In the event that your preference of workshop is not available, we will contact you to discuss the next best available option.

If you have chosen a local workshop then an Assessment Manager will contact you directly to arrange a suitable date and time.

ORGANISATION DETAILS

Name of OrganisationAddress & Postcode

Telephone

Email

ORGANISATION REPRESENTATIVES (attending workshop)

Name Name

Position Position

Telephone Telephone

Email Email

2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HRTel: +44 (0)1784 429000

www.ukas.com Registered Office: 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, Middlesex, TW18 3HR. Registered in England as a company Limited by Guarantee No. 3076190

F473 Issue No: 1 Page 1 of 2

PAYMENT DETAILS (Both methods of payment accepted. If you are registering as part of the refundable package, please indicate this below as payment is not required.)

Refundable package

Purchase Order No:

Cheque No:( Please mark the rear with your details and organisation name)

Please complete this form and submit by email to [email protected] or [email protected] or by post to IQIPS at UKAS, 2 Pine Trees, Chertsey

Lane, Staines upon Thames, TW18 3HR.

Please note UKAS will not reimburse any costs incurred through travel or subsistence.

2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HRTel: +44 (0)1784 429000

www.ukas.com Registered Office: 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, Middlesex, TW18 3HR. Registered in England as a company Limited by Guarantee No. 3076190

F473 Issue No: 1 Page 2 of 2