March 2015 Examination Application FormPlease Write Clearly in BLOCK CAPITALS

IFE Membership/Candidate Date of Birth: Number: (If applicable) DD/MM/YY Title: Forename(s):

Surname(s): Gender:

Please specify in the box below how you require your name to appear on any future certificates:

Tel Home: Full Postal Address:Tel Mobile:

E-mail:

(We will send your exam acknowledgement letter via E-mail where one is provided - individual applicants only)

Employer:

Please tick to confirm that you have read and accept the Terms and Conditions for Candidates listed on page 2 of this form.

Preferred Examinations Centre: Centre Code: (Please see page 4)

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/ /

Male/Female

Country: Postcode (UK):

Please tick ( ) the examination paper(s) you wish to take. Tick

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10.15-13.15 Level 2 Certificate09.00-10.00 Level 3 Certificate Unit 1: Fire Engineering Science10.15-11.15 Level 3 Certificate Unit 2: Fire Operations10.15-13.15 Level 3 Diploma Unit 2: Fire Safety10.15-13.15 Level 4 Certificate Unit 1: Fire Engineering Science14.15-17.15 Level 3 Diploma Unit 3: Fire Service Operations and Incident Command - International14.15-17.15 Level 3 Diploma Unit 6: Fire Service Operations and Incident Command - UK Specific14.15-17.15 Level 3 Diploma Unit 4: Aviation Fire Operations14.15-17.15 Level 4 Certificate Unit 3: Fire Service Operations and Incident Command14.15-17.15 Level 4 Certificate Unit 4: Aviation Fire Operations14.15-17.15 Level 4 Certificate Unit 7: Civil Emergency and Disaster Management

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09.00-10.00 Level 3 Certificate Unit 3: Fire Safety10.15-11.15 Level 3 Certificate Unit 4: Management and Administration10.15-13.15 Level 3 Diploma Unit 1: Fire Engineering Science10.15-13.15 Level 4 Certificate Unit: 5 Leadership and Management in Fire and Rescue10.15-13.15 Level 4 Certificate Unit 6: Fire Investigation14.15-17.15 Level 3 Diploma Unit 5: Leadership and Management in Fire and Rescue14.15-17.15 Level 4 Certificate Unit 2: Fire Safety

Terms and Conditions for Examination Candidates – March 2015

Candidates applying for the IFE examinations agree to be bound by the Terms and Conditions set out below.

1. Candidates must provide true and accurate information when they complete the application form. This information will be used to generate certificates where applicable. Candidates are responsible for informing the IFE of any changes in the information provided.

2. Candidates must submit their examination entry fee at the same time as they submit their application form. 3. Candidates must submit their entries by the closing date of 30 November 2014. Candidates may cancel their

entries up until 14 December 2014. Examination fees will not be refunded after this date. 4. Candidates must provide proof of identity to the examination centre prior to sitting their examination. 5. Candidates must familiarise themselves with the rules and conditions that apply to examinations set by the

IFE and must ensure that they comply with these rules.6. All candidates must conduct themselves in an appropriate manner during IFE examinations. Candidates who

do not conduct themselves in an acceptable manner or who are identified by the examination centre as committing malpractice or failing to comply with the examination arrangements stipulated by the IFE may be asked to leave the examination room. The IFE reserves the right to disqualify candidates who do not comply with the examination rules. In this instance, fees will not be refunded.

7. Candidates are responsible for ensuring that they arrive at the examination venue on time. Candidates must arrive at least 30 minutes before the examination commences. Candidates who are late may not be allowed to take the examination.

Fees for 2015

Level 2 Certificate 33.50 pounds sterling

Level 3 Certificate

22.50 pounds sterling per paper65.00 pounds sterling for all four Level 3 Certificate papers to be taken in the same session

Level 3 Diploma 55.00 pounds sterling per paper145.00 pounds sterling for all four Level 3 Diploma papers to be taken in the same session

Level 4 Certificate

65.00 pounds sterling per paper175.00 pounds sterling for all four Level 4 Certificate papers to be taken in the same session

Submitting the Application

Applications by PostPlease complete the application form on page 1 and send it along with the appropriate payment to: The Institution of Fire Engineers (Examinations), IFE House, 64-66 Cygnet Court, Timothy’s Bridge Road, Stratford-upon-Avon, CV37 9NW, United Kingdom

*N.B. Payment can be made by cheque or bankers draft (made payable to The Institution of Fire Engineers - in GBP only) or by credit/debit card using the form provided on page 3.

Applications by E-mail or FaxPlease complete the application form on page 1 and e-mail/fax this along with your credit card details (please see page 4) to exams@ife.org.uk OR fax it to +44 (0) 1789 296 426.

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Data ProtectionThe Institution of Fire Engineers (IFE) is fully registered under the UK Data Protection Act. The IFE will not provide your information to third parties for their direct use. In accordance with this Act, the IFE (and companies processing data on its behalf) will hold and use data contained in this form for administrative purposes, to provide the examination services you have requested and to maintain your IFE record. The data you have provided will override any previous information that the IFE collected from you.

The IFE, with your permission, would also like to provide you with information about other products and services.

If you would like to receive information about IFE products and services, please tick this box.

Please tick the appropriate box(es) to register your preferred method(s) for contact :e-mail or post or both .

Credit Card Payment Information

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Cardholder’s name (as it appears on the card):

Card Number (long number on the front-16 digit cards only):

Expiry date:DD/MM/YY

Start date:DD/MM/YY

Security Number:(last 3 digits on signature strip)

Exam Fees: Membership Subscription:

Issue number:(Switch/Maestro))

Candidate Number/Membership Number:

FOR OFFICE USE ONLY: (Amount to be deducted)

££

2015 Provisional List of IFE Examination Centres

It is sometimes possible to accommodate candidates at examination centres that do not appear on this list. Although this cannot be guaranteed, candidates are welcome to enquire about a location/region that does not appear below.

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International VenuesLocation Venue CodeIndia, Mumbai 101India, Kolkata 102India, Chennai 103India, Delhi 104Kenya, Eldoret 110Kenya, Thika 112Kenya, Mombasa 113Uganda, Kampala 115Canada, Toronto 130Malaysia, Kuala Lumpur 140Egypt, Cairo 146Malta 150Mauritius, Reduit 160Mauritius, Rodrigues 161Ghana, Accra 170Nigeria, Lagos 181Nigeria, Benin City 183Nigeria, Calabar 184Nigeria, Abuja 186Hong Kong 190Pakistan, Karachi 200Pakistan, Islamabad 201Qatar 204Republic of Ireland, Dublin 211UAE, Dubai 227Singapore 230Sri Lanka, Colombo 250Trinidad, Port of Spain 261Trinidad, San Fernando 262Tobago, Scarborough 263St. Lucia 264Jamaica, Kingston 265Dominica, Roseau 270Gibraltar 280Zambia, Lusaka 281Zimbabwe, Bulawayo 291Zimbabwe, Harare 292South Africa – For a full list of venues in South Africa

please contact the BranchAustralia – For a full list of venues in Australia, please

contact the BranchNew Zealand – For a full list of venues in New

Zealand please contact the BranchOman, Muscat 390

UK VenuesLocation Venue CodeLincolnshire 514Nottinghamshire* 515Scotland, Fort William 535Surrey, Reigate 536East Sussex 537Staffordshire 539Scotland, Aberdeen 540West Midlands, Birmingham 541West Yorkshire, Bradford 542Avon, Bristol 543Lancashire, Chorley 544Tyne & Wear 547Scotland, Edinburgh 548Scotland, Glasgow 549Suffolk, Ipswich* 551Isle of White 552Northern Ireland, Belfast 555Merseyside, Liverpool 556London 557Manchester 558Norfolk, Norwich 560Essex 562Wales, Pontyclun 564South Yorkshire, Sheffield 567Hampshire, Southampton 568Devon, Exeter 572Channel Islands, Guernsey 573Channel Islands, Jersey 581Hertfordshire 583Warwickshire, Stratford-upon-Avon 589

Cornwall, Liskeard 591Oxfordshire 597Bedfordshire 599

Please note that centres marked with an * are open to personnel from that Fire & Rescue Service only.