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Learner Details
Learner's Nationality *
- Select - Afghan Albanian Algerian American Andorran Angolan Anguillan Citizen of Antigua and Barbuda Argentine Armenian Australian Austrian Azerbaijani Bahamian Bahraini Bangladeshi Barbadian Belarusian Belgian Belizean Beninese Bermudian Bhutanese Bolivian Citizen of Bosnia and Herzegovina Botswanan Brazilian British British Virgin Islander Bruneian Bulgarian Burkinan Burmese Burundian Cambodian Cameroonian Canadian Cape Verdean Cayman Islander Central African Chadian Chilean Chinese Colombian Comoran Congolese (Congo) Congolese (DRC) Cook Islander Costa Rican Croatian Cuban Cymraes Cymro Cypriot Czech Danish Djiboutian Dominican Citizen of the Dominican Republic Dutch East Timorese Ecuadorean Egyptian Emirati English Equatorial Guinean Eritrean Estonian Ethiopian Faroese Fijian Filipino Finnish French Gabonese Gambian Georgian German Ghanaian Gibraltarian Greek Greenlandic Grenadian Guamanian Guatemalan Citizen of Guinea-Bissau Guinean Guyanese Haitian Honduran Hong Konger Hungarian Icelandic Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakh Kenyan Kittitian Citizen of Kiribati Kosovan Kuwaiti Kyrgyz Lao Latvian Lebanese Liberian Libyan Liechtenstein citizen Lithuanian Luxembourger Macanese Macedonian Malagasy Malawian Malaysian Maldivian Malian Maltese Marshallese Martiniquais Mauritanian Mauritian Mexican Micronesian Moldovan Monegasque Mongolian Montenegrin Montserratian Moroccan Mosotho Mozambican Namibian Nauruan Nepalese New Zealander Nicaraguan Nigerian Nigerien Niuean North Korean Northern Irish Norwegian Omani Pakistani Palauan Palestinian Panamanian Papua New Guinean Paraguayan Peruvian Pitcairn Islander Polish Portuguese Prydeinig Puerto Rican Qatari Romanian Russian Rwandan Salvadorean Sammarinese Samoan Sao Tomean Saudi Arabian Scottish Senegalese Serbian Citizen of Seychelles Sierra Leonean Singaporean Slovak Slovenian Solomon Islander Somali South African South Korean South Sudanese Spanish Sri Lankan St Helenian St Lucian Stateless Sudanese Surinamese Swazi Swedish Swiss Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Trinidadian Tristanian Tunisian Turkish Turkmen Turks and Caicos Islander Tuvaluan Ugandan Ukrainian Uruguayan Uzbek Vatican citizen Citizen of Vanuatu Venezuelan Vietnamese Vincentian Wallisian Welsh Yemeni Zambian Zimbabwean
Learner's Ethnicity *
- Select - White British White Irish Any other White Background Mixed White and Black Caribbean Mixed White and Black African Mixed White and Asian Any other Mixed Background Indian Pakistani Bangladeshi Any other Asian Background Caribbean African Any other Black Background Chinese Any Other Ethnic Group White – English / Welsh / Scottish / Northern Irish / British White – Irish White – Gypsy or Irish Traveller Other ethnic group – Arab White – Any Other White background Mixed / Multiple ethnic group – White and Black Caribbean Mixed / Multiple ethnic group – White and Black African Mixed / Multiple ethnic group – White and Asian Mixed / Multiple ethnic group – Any Other Mixed background Asian / Asian British – Indian Asian / Asian British – Pakistani Asian / Asian British – Bangladeshi Asian / Asian British – Chinese Asian / Asian British – Any other Asian background Black / African / Caribbean / Black British – African Black / African / Caribbean / Black British – Caribbean Black / African / Caribbean / Black British – Any other background Any other ethnic group Not Known
Learner's Ability Status *
- Select - Learner considers they have a learning difficulty and/or disability Learner does not consider they have a learning difficulty and/or disability Not Known
Learner's Prior Achievement *
- Select - Entry Level Other qualifications below level 1 Level 1 Full Level 2 Full Level 3 Level 4 Level 5 Level 6 Level 7+ No Qualifications Not Known
Learner's Employment Status *
- Select - Full-time Student Employed – Full-time Employed – Part-time Registered Unemployed (Seeking work) Unwaged (Not Seeking Work) Self Employed Not Known
2 Learner Current Address
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Learner Previous Address 1
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Learner Previous Address 2 (Optional)
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Learner Identification Document
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Learner Identification Document (Back)
If you are uploading a Residence Permit, you must upload the back of this document as well
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Reasonable Adjustment
Reasonable Adjustment Applications take up to 25 working days for the exam board to review once a date is selected.
Please keep this in mind when selecting your date and uploading details, to allow enough time for your application.†
Reasonable Adjustments requested:
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Please provide details on other adjustments
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Please provide details on who your Reader/Prompter/Scribe will be
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