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A&S Training College

Learner Monthly Returns

Month.................................

Year ..................................

Name: .................................................................. Intake ................................. Student ID:........................

Learner Details
Accommodation Address:

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Accommodation Post Code:

__________________________________________________________________

Learner Contact No:

__________________________________________________________________

Learner Email ID:

________________________________________________________________

Placement Details
Placement Name:

__________________________________________________________________

Placement Address:

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Placement Post Code:

__________________________________________________________________

Placement Contact No:

__________________________________________________________________

Managers Name:

__________________________________________________________________

Managers Email ID:

__________________________________________________________________

Please photocopy this form for further use before you use it for this month.
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Monthly Timesheet
This form certifies that the student has not worked more hours than permitted at the provided placement centre for
the month ending.....................................This complies with the UKBA stated regulations permitting the student to
practice in accordance with their college placement.
Week

Date

Hours Worked

Week

st

Week

29
30

th

th

31

st

16

rd

17

th

Week 3

th

18

th

19

th

20

th

21

th

22

th

23

Week 5

th

st

nd

rd

th

th

10

th

Hours Worked

th

11

Date

th

15

Week 2

Hours Worked

th

nd

Week 1

Date
th

24
Week 4

th

25

th

26

13

th

27

14th

28th

12

th
th

All information given is a true and accurate record


Signed (Student)...............................................

Date:

The above statement is a true and accurate record of the students attendance.
Signed (duty manager).....................................

Date:

Please note: Above this, the student may work extra hours according to student allowance as mentioned in their visa. Under the student visa
terms there are no working hour restrictions during term breaks and you may agree whatever hours you wish with the student. All hours worked
during term breaks do not form part of the course.

Official use only:


Lecturer/Assessor/Tutor Name: __________________________

Signature: ______________________

Date of collection: ___________________

Payslip seen: Yes No

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