Level 4 Certificate in Long Term Care and Later Life Planning (CertLTCP) Registration Form

Level 4 Certificate in Long Term Care and Later Life Planning (CertLTCP) Registration Form
Thank you for choosing to register for the Level 4 Certificate in Long Term Care and Later Life Planning (CertLTCP). Students must already hold CeMAP, CeRER or DipFA, or an equivalent Level 3 or 4 qualification.

On completion of your qualification you will be issued with a digital certificate.

This online process accepts the following types of payment:

Credit / Debit card
Invoice

For further information or help, please contact us at customerservices@libf.ac.uk or on +44 (0)1227 818609.

Your Details
LIBF Number (if known)
LIBF Number
Title
Name*

First NameMiddle NameLast Name
Previous Name
Please tell us any previous name you have used that would help us link this application to any other records we may hold for you
Date of Birth*

DayMonthYear
*A date of birth is compulsory to activate your online account.
Gender*

MaleFemaleOther (e.g. Non- Binary)Prefer not to say

Registration Details
Registration

To register for CertLTCP, students must already hold CeMAP, CeRER or DipFA, or an equivalent Level 3 or 4 qualification.
I have completed:*

CeMAP, CeRER or DipFA (no additional evidence required)an equivalent Level 3 or 4 qualification
Upload document

Equivalent Level 3 or 4 Qualification or Statement of professional standing
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Payment Details

CertLTCP Registration

£455.00

Enter coupon

Total

£0.00

By requesting an invoice, you are agreeing to pay this invoice within 30 working days of receipt. The invoice will be emailed to the email address you provide.

CertLTCP costs £455
Please enter the details of the invoice recipient.

to myselfdifferent details to those entered above
If you have a discount code please enter it so it cn be applied to your invoice.
Employer/business name (if applicable)
Name of Person Invoice needs to addressed too

First NameLast Name
Email for Invoice to be sent
example@example.com
Invoice Reference (Optional)
Purchase order number, cost centre number. This will appear on your invoice.
Address For Invoice if different from your preferred address

Building name/number/street name

Address line 2

Town/CityCounty/State/Province

Post Code/CityCountry

Declaration
Your personal data

We will use and protect your personal data in accordance with current data protection legislation to process your application. Further details, including your rights, the disclosure of data to third parties, storage, retention and how to amend your personal data, can be found within our Privacy Notice.

Terms & Conditions

Please read the Terms and Conditions in full for our Corporate and Professional Qualifications
Declaration - you must agree and accept the below to continue:

By registering you declare that the information you have entered is true and accurate, consent to the processing and use of your personal data as outlined in the Privacy Notice.By registering with us you accept our terms and conditions.
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