EUROPEAN SAFETY COUNCIL LEARNER REGISTRATION FORM Follow these easy steps and start your journey to success. STEP 1 - Course Select ion Course name: Course Code: STEP 2 - Student detail Is DDMMY yyy ID/Passport No*: Date of Birth: ‘attach proof of 1D Full Names: Surname Email Address: Cell No: Work No Postal Address: Code: Delivery Address (Work address preferred) Code: Job Status: [Unemployed Employed Occupation: Company/Work Name: Highest Academic Qualification*: Year Passed: Other Qualifications: “Aitach passport copy, all certificates and atest resume Student Signature: Course Advisor : Date: Signature , CONTACT US E-mail: info@europeansafetycouncil.uk Website: www,europeansafetycouncilukEuropean Safety Council EUROPEAN SAFETY COUNCIL - Learning Agreement EURO BEAN SAFETY COUNCIL Course Name: ESC-IDHSE Leamers must not produce fake ID proofs or resume or certificate to seek admission, Leamers can contact BCSP(U.S.A) to apply for TSP status and hence advance directly to prepare CSP exams. Learners ‘are exempted from ASP. Learner should contact BCSP only after successfully passing ESC Int Diploma in Health and Safety Engineering endorsed by Quelifi, UK Leamer can apply for GradlOSH status with IOSH. Please note that GradlOSH is not provided to all learners. Few learners {get it and few does not get it. It depends on your application merit and factors known to IOSH. Leamer can apply for MIRSM status with IIRSM. Please note that MIRSM status isnot provided to all learners. Few learners get it and few does not get it. It depends on your application merit and factors known to IIRSM. , CONTACT US E-mail: info@europeansafetycouncil.uk Website: www.europeansafetycouncilukEUROPEAN SAFETY COUNCIL - Learning Agreement EUROPEAN SAFETY COUNCIL Withdrawal from the qualification Learner fees will not be refunded in case of withdrawal from the qualification after obtaining Learner ID or if application has been filed with the awarding body and learner ID generation is in process. IF leamer withdraws from the qualification before filing the application with awarding body, then §0% fees will be deducted from the course fees and remaining will be refunded in two weeks. Qualification Materials Course Provider will not share any indicative or exclusive materials , references , notes, sample answers, sample texts , sample links, books to aid in the progress or completion of the qualification, Signature By signing this document, the learner, the course provider confirm that they accept the Learning Agreement and that ‘they will comply with al the conditions stated in the Learning Agreement. Leamer Course Provider Signature Date Location , CONTACT US E-mail: info@europeansafetycouncil.uk Website: www.europeansafetycounciluk t