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Construction Card Manager Ltd CPCS Test Pre Booking Form Booking Date:

Proposed Test Date:

Delegate Name: ………………………………………………………………………….. Date of Birth:

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NI Number:...............................................................

Company Name:…………………………………………………………………………………………… Company Address: ……………………………………………………………………………………….. Company Levy number if in scope with Construction Skills:…………………………………………. CPCS Testing Description: Construction Plant Competence Scheme, 1 hour 15 minute Theory Test, 1 Hour 15 Minute Practical Test. Booking Cost £295.00 + VAT = £51.62 Total: £346.62 inclusive of CPCS Card costs. Name of the Person requesting this test Booking Form:.…………………………………………

Position with the company:……………………………………………………………………………….

Signature:…………………………………………….. Date:…………………………………………….. All bookings are taken on a first come first served basis only. Therefore full payment must be received as soon as possible prior to the start date of the planned test to ensure guarantee of the Test Notification to CPCS. The Testing confirmation will be forwarded following full and cleared payment. Please return this completed booking form via email to admin@ccmgroup.co.uk, or post to: Construction Card Manager Ltd, 505 Leek Road, Hanley, Stoke on Trent, Staffordshire, ST1 3ER. Upon receipt an invoice will be raised for payment. By signing this booking form you agree that in the event of a cancellation CCM must be notified by email to info@ccmgroup.co.uk no later than 10 working days prior to course start date for a full refund, After this time a 25% cancellation fee of the course cost will be charged, Furthermore any cancellations 5 working days or less prior to the test start date there will be no refunds*

Please list any relevant info: e.g. dietary, Medication, Disablement, If none please write none.

Let your Training Testing and Assessment problems be our Training and Assessment Solutions We are an independent organisation providing a wide range of support for Companies Construction Card Manager Limited, 505 Leek Road, Hanley, Stoke on Trent, Staffordshire, ST1 3ER. Registered in England & Wales No 5079130 Tel: 01782 28 44 22 Mobile: 07875 501 531 * Company refund policy is available upon request.


CPCS A09