SQA Examination Application Form

Examination Centre:
Course:

Liverpool John Moores University

032

SQA Candidate Number:

________________________________

Surname:

_________SAINI_____________________________

Forename:

________RAHUL_____________________________

Gender:

Male

Female

Date of Birth: ___________________________________________

Attempt:

1st

2nd

3rd

4th

5th

Address where you wish the SQA to send your official results letter:
C/O MARITIME ADMIN,
ROOM 212, LIVERPOOL JOHN MOORES UNIVERSITY,
JAMES PARSONS BUILDING, LIVERPOOL,
L3 3AF
UK

Circle the subject/s to be undertaken;

032-73 Navigation
23/03/2016

032-74 Stability and Structures

24/03/2016

Candidates will be required to produce either their discharge book or passport as proof of identity on
entry to each examination
I declare
i.
ii.
iii.
iv.

that the information provided is correct;

that I will meet the requirement to have completed a course of education and training
acceptable to the Maritime and Coastguard Agency for each examination subject;
that I will meet the requirement to have a Notice of Eligibility issued by the Maritime and
Coastguard Agency prior to sitting the examinations;
That I have read, understood and agree to the information provided on Page 2 of this
Application.

Signature of Candidate

_______________________________

Date

_______________________________

Programme Leader (Signature)

_______________________________

NOTE: Exam Fee 250 (Late Fee is 275) and is non-refundable (Code: G274001)

NOTES
SQA Attempts allowed
1. In accordance with IAMI/MCA policy, candidates undertaking SQA examinations are
permitted THREE (3) attempts before refresher training is required. This may be
extended to FOUR (4) attempts under extenuating circumstances, at the discretion of the
examination centre.
2. Refresher training may be undertaken at a venue of the candidates choice. However the
nature and standard of such refresher training must satisfy the requirements of Points 3
and 4 below.
3. Evidence of such refresher training must be provided to LJMU at the time of applying for
4th or 5th attempts. The evidence provided must be capable of verification by LJMU and/or
MCA at their discretion.
4. The nature of the refresher training must be such that it provides the candidate with an
improved likelihood of examination success.
5. The maximum number of SQA attempts permitted at LJMU is FIVE (5).
Application procedure
1. Complete all fields on Page 1, including your signature and date.
2. Send the completed form to the Programme Leader.
3. If your Application qualifies for a resit then it will be authorised by the Programme Leader
and returned to you.
4. Payment of the resit fee must then be made quoting the Code: G264020.
5. The Application form, with receipt of fee paid, must then be returned to the SQA
Administrator (at Department Office of Maritime & Mechanical Engineering, R2.12, Byrom
Street, Liverpool L3 3AF, ENRAdmin@ljmu.ac.uk) for inclusion on the requested exam
diet.
Request for a Visa support letter
LJMU Student No.:

DoB:

DipHE Start date:

Completion date:

DipHE passed? :

Yes / No (Circle as appropriate)

MCA Oral passed? :

Yes / No (Circle as appropriate)

Results notification

You will receive official notification of your results by letter from SQA.
This will be posted to the address which you have supplied on Page 1. Ensure that the
address provided is accurate and neatly written so as to avoid errors or delays.
Should the address provided be outside the United Kingdom then expect a relevant
delay between the release of results and your receipt of the official results notification
letter.
Whilst LJMU may be able to provide you with informal information regarding your results
this must not be regarded as official.
Note that it is NOT the responsibility of LJMU to either provide Candidates with their
results or act as a mail forwarding service.