CANDIDATES SITTING BCS ACCREDITED TRAINING
PLEASE RETURN THIS FORM TO YOUR EXAMINATION PROVIDER
BCS International Diploma in Consultancy
Candidate Oral Registration Form / BCS
The Chartered Institute for IT
Professional Certifications
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Candidate Number / BCS Membership Number(If known) /
Please print your name clearly as this will appear on your certificate /
Title
(Mr/Mrs/Ms/Dr etc) / First Name /
Surname/Last/Family Name / Other Given Name(s) /
Previous Surname
(If applicable) / Date of Birth
(DD/MM/YY)
For validation purposes /
Home Address
(A home address for communications is required. All written correspondence will be addressed to your home address unless otherwise stated) /
Address /
Country / Home Telephone Number /
Post Code/Zip Code / Mobile Number /
Email Address /
Please ensure you write your email address clearly as this may be used to notify you that your results are available /
Previous Home Address
(If you have moved since your last exam please provide the following) /
Address /
Country / Post Code/Zip Code /
Work Address /
Company Name and Address /
Country / Work Telephone Number /
Post Code/Zip Code / Present Position /
Modules Gained (please state full date passed)
Module / Date Passed / Name of Training/Examination Provider
Core (must be the module below)
BCS Practitioner in Consultancy
Knowledge Based Specialism: Please indicate which module you hold, date passed and the name of the certification and vendor. (ONE ONLY)
Module / Date Passed / Name of Certification Gained
BCS Foundation Certification e.g. Foundation in Service Management
Vendor specific at Foundation, intermediate of Associate level. e.g. Microsoft, Oracle, Cisco, SAS etc.
Certification at Foundation level from another examining body. e.g. APMG, Comptia, APM etc.
Note: other Knowledge based and Practitioner level certifications may be accepted. Please contact BCS or your examination provider
Practitioner Based Specialism: Please indicate which module you hold, date passed and the name of the certification and vendor. (ONE ONLY)
Module / Date Passed / Name of Certification Gained
BCS Practitioner Certification, e.g. BCS Business Analysis Practice
Vendor specific at Practitioner or Specialist level. e.g. Microsoft, Oracle, Cisco, SAS etc.
Certification at Practitioner level from another examining body. e.g. APMG, Comptia, APM etc.
Professional Qualifications
Candidate Guidance for Completion of this form
To ensure this form can be accepted candidates should follow this guidance. The detail on this form (BSD6) must be written by the candidate and not taken as extracts from a CV or Job Description. Candidates should provide an overview to identify the types of activity and experience they have had relating to the Specialisms indicated above.
Please note this information will be used to form the basis of the discussion at the beginning of the oral examination, so candidates should provide sufficient information for this purpose.
Forms may be returned to the candidate by the Examination Provider where the information provided is not considered to be sufficient, this may also result in the Oral Examination date having to be postponed.
Experience
Position/Employer/Client / Dates / Nature of Consultancy Experience
Candidate Declaration
I confirm that I agree to the following:
§ I will comply with the relevant provisions of the certification scheme
§ I will only make claims regarding certification with respect to the scope for which certification has been granted
§ I will not use the certification in such a manner as to bring the certification body or the certification into disrepute, and I will not make any statement regarding the certification which may be considered misleading or unauthorised
§ I will discontinue the use of all claims to certification that contains any reference to the certification body or certification upon suspension or withdrawal of certification, and to return any certificates issued by the certification body
§ I will not use the certificate in a misleading manner.
Please note: Examination marks will be forwarded to your Examination Provider.
Candidate Signature / Date
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Copyright © BCS 2014
BCS International Diploma in Consultancy - Registration Form (BSD6)
Version 1.2 January 2015