Proof of Qualification Form

A Proof of Qualification is only applicable for a qualification and/or units where a certificate has previously been issued.

A partial Proof of Qualification - available where unit grades have been reported to us by your study centre and unit certification has not been claimed before the certification end date for the qualification.

If requesting a statement for more than one qualification, a separate application form should be completed.

Learner details (name as it appears on the certificate at the time of issue)

First name: *

Last name: *

Date of birth: *

Learner Code (if known):

Details of qualification

Qualification / unit title: *

Qualification / unit code:

Certificate number (if known):

Year of certification:

Name of college / centre:

Centre number (if known):

Contact details of person requesting Proof of Qualification Leaner/ Centre/Employer

Name: *

Name of Institution: (If Applicable) *

Telephone Number: *

*This is the address we will use to contact you if you are intending to pay for this service by credit/debit card or BACS

Email*: *

The learner is aware that an application has been requested: (applicable if requesting on behalf of the learner)

Reason for request

Reason for Request

Potential employee Education provider Current employee Other

Please state reason for request, if not listed above.

Please upload your completed WES form, if applicable

Additional documents - (required if you are a potential/current employer, education provider or other third party when requesting a statement of achievement/verification of achievement on behalf of a learner)

A clear photocopy of one of the learners documents below should accompany this application form. Indicate which document has been included (please tick):

Birth certificate Passport Driving license

Upload your additional documents here:

**Proof of Qualification is being delivered to the learner’s address, a photocopy of the following document should also be included;

Proof of current address

Upload your proof of address here: (if required)

Address to where the Proof of Qualification should be sent

Is this a Learner Address or a Centre Address:

Learner address Centre address

Address: *

Postcode:

Payment details

I have a payment account set up with you.

Purchase Order number:

* Following receipt of your form, we will send you an email asking you to contact us to make payment. Please have your card details to hand when you call

Payment by credit/debit card* Payment by BACS.

Please note the following terms and conditions before placing your request

The Statement of Achievement /Verification of Achievement will state the name of the learner at the time the qualification or unit was achieved. It remains the responsibility of the employer to check that the individual named in the statement is the person to whom the statement relates.

In the event of us being unable to trace the learner’s qualification and/or units based on the details supplied on this form or incomplete documentation submitted, the full fee will be applied.

Following receipt of a fully completed form and payment, requests for Proof of Qualification will be completed within 10 working days.