COURSE BOOKING/REGISTRATION FORM

Course Title: __________________________________________________________

" Internal Auditor Training Course on Integrated Management System (ISO 9001:2015, ISO 14001:2015 & ISO 45001:2018)"

(This title has to be exactly same as that as given in the footer of the Course Brochure available in the respective CQI-IRCA training courseware)

Course Dates: Start Date ________________________End Date_________________________

Delegate Details

Mr.
Name: __________ NITTYAJIT CHANDRA
___________________________ MONDOL
__________________________________________
Title (Mr/Ms/Mrs/Dr) First Name Last Name (Family Name/Surname))
(Note: Your name will appear on the certificate exactly as printed above except the title)

Job Title: _______________________________________________________________________________

MANAGER, PRODUCTION

1980-12-15
Date of birth (YYYY-MM-DD) (Optional __________________________________Gender MALE
(Optional__________________

Financed by: Company / Self Sponsored (Strike off one) Company

Company’s GST Number/ VAT Number/Other TAX Number: ____________________________________

(required for Invoicing)
Invoicing Address:
________________________________________________________________________________

____________________________________________________Postal Code__________________

Tel No: 01717442428

____________________________________________ Hand phone/Mobile: ____________________
production@matexbd.com Bangladeshi
Email: ____________________________________________Nationality___________________________

Declaration of Pre-requisites for attending this course & Data Processing Notice

1. I have met / Not met* the course Pre-Requisites as specified in the relevant “Data Sheet/Course Brochure”
provided to me.
2. I have read and understood the enclosed notice from CQI on data processing and I consent to use my data as
said in the document

Signature: __________________________________________ Date: _______________________________

* Circle one as applicable. If you have not met the course prerequisites and still want to attend the course you can do so. By signing this application you
acknowledge that failing to have met the prerequisites you might not be able to achieve the learning objectives of the course. You further acknowledge
that by not meeting the pre course requisites you will be unable to successfully apply for certification as CQI-IRCA Auditor or Lead Auditor.

Comments by BV Office
CONTACT:
Dhananjay Khairnar
The Course Brochure Bureau
& NoticeVeitas Certification
for data processing India Pvt. Ltd. herewith
is enclosed
6th Floor, Marwah Center, K. Marwah Marg,
Note : Opp. Ansa Ind. Estate, Off Saki-Vihar Road, Andheri (E).
Mumbai 400 072.
1. For each of the CQI-IRCA certified courses, the pre requisites and certification related information is provided in the Course Brochure/Data Sheet. Please
request for the appropriate brochure / data sheet before you fill in this form, if you did not received one.

2. One ‘Re-Sit’ opportunity is given to each delegates within 12 months of the completion of the course. For more information contact our respective training team

3. You are required to study the enclosed Notice on Processing Data before you sign this form

TF 11 Course Booking Form rev 7 Apr’18

Notice of processing data for delegates

Dear Delegate,

The Chartered Quality Institute (the CQI) has approved BVC, your training provider to deliver the
certified course that you are attending.

During or after your course has finished, your training provider sends us some information about you.

As a registered UK charity, the CQI is subject to the General Data Protection Regulation (GDPR), a
European law that gives you certain rights with respect to your personal data that is shared with the
Institute.

We process your data in order to:

-Provide you with a verifiable record at the conclusion of the course

-Assess the provider and the training that you have received.
The data that is shared with us by your training provider includes your name, your email address, the
name of your tutor, the course in which you are registered, the date of your course and the results of
final assessments that you have completed.

You are assigned a student identification number when you register for a CQI or IRCA certified course.
We retain your name, course and exam details, and this student identification number in perpetuity, so
that we can verify, upon request, that you completed the course for which you have registered.

We use your name, email address and course information to send you a personalised email following the
conclusion of your course, in which we ask you to give us feedback on your experience with the course,
your tutor and the training provider. We also ask you whether you are interested in receiving additional
information from us about the quality profession, the CQI and IRCA, and our products and services.

As a data subject you have certain rights under the GDPR including, for example, the right to access the
data that we hold about you. You can contact the CQI directly or through your training provider to
exercise your GDPR rights.

The CQI can be reached directly at: training@quality.org.

CONTACT
Dhananjay Khairnar
Bureau Veitas Certification India Pvt. Ltd.
6th Floor, Marwah Center, K. Marwah Marg,
Opp. Ansa Ind. Estate, Off Saki-Vihar Road, Andheri (E).
Mumbai 400 072.

CQI Notice of processing data for delegates_ April 2018_v1

TF 11 Course Booking Form rev 7 Apr’18