CiPELT - Individual Application form

Certificate in Primary English Language Teaching (CiPELT- Ready/Go)
Participant Application Form
Please complete this form and return with payment by the deadline mentioned in our communication.
Personal Details:
Title (Mr/ Ms/ Mrs/ Rev)
First name (Given name)
Family name (Surname)
Name of School / Institute
Contact address
Telephone
Fax
E-mail
Mobile no.
Gender (male / female)
Qualification
Current job title / designation
Teaching experience
Classes currently taught by
you
Special Needs – Please state any special requirements in respect of:
Physical disability:
Please complete this form and return with pay order / demand draft to:



For Karachi – Usman Khalid at British Council, British Deputy High Commission, Shahrah-e-Iran,
Clifton Karachi
For Islamabad - Shezreen Shah at British Council, British High Commission, Ramna 5, Diplomatic
Enclave Islamabad
For Lahore – Ahmad Tasneem at British Council, 65 Mozang Road, Lahore
Pay order / demand draft to be made in the favour of ‘British Council’.
Please turn overleaf for British Council cancellation/refund policy and attendance policy.
Cancellation / Refund policy:
British Council holds the right to revise or cancel course dates, venues and price without prior intimation. In
case, the course is cancelled by the British Council, full training fee will be refunded to participants.
In case a candidate withdraws his/her participation three weeks before the course, 80% training fee will be
refunded to the candidate.
In case a candidate withdraws his/her participation two weeks before the course, 50% training fee will be
refunded to the candidate.
If a candidate withdraws a week before the course NO refund for the training fee will be made to the
candidate.
Attendance Policy:
It is mandatory for participants to attend all days of the course that they have registered for. If any participant
is absent for even a day they will not be eligible to receive the certificate of participation.
How we use your information
The British Council will treat all personal data in accordance with UK law and its own privacy policy.
The British Council may wish to contact you for feedback at a later date.
□ Yes, I am happy to be contacted to provide feedback.
We may want to use your information to send you details of British Council activities, services and events
(including social events) which may be of interest to you.
□ Yes, I would like to be sent details of British Council activities, services and events.
Your Rights: Under the UK Data Protection Act 1998 you have the right to ask for a copy of the information
we hold on you and the right to ask us to correct any inaccurate information. To find out more please contact
your British Council office or see our data protection webpage: http://www.britishcouncil.org/privacycookies/data-protection
Confirmation - I confirm that I have read British Council’s cancellation/refund policy and attendance policy. I
will attend all days of the CiPELT-Ready or CiPELT-Go course.
Signature:
Date:
The United Kingdom’s international organisation for educational opportunities and cultural
relations. We are registered in England as a charity.
2