Enrolment Form and Learning Agreement

Academic Year 23/24

Student Reference Number 867320 Unique Learner Number (ULN) UCAS Number
Section 1: Personal Details

First name Hamad Family Name Idiman

Sex M Date of Birth 02/10/2003

NI Number TK336871D First Language Arabic

Contact Details
Post Code W11 1TZ
Address St Marks Close Email Address Edimenhamad@gmail.com
Mobile Number 07459687210
Telephone Number Not provided

Town London
Next of Kin Details 1 Next of Kin Details 2
Name Kerry Horne Name
Relationship Carer/Social Worker Relationship
Email Address kerry.horne@rbkc.gov.uk Email Address
Telephone Number 07834337498 Telephone Number
Emergency Contact? Y Emergency Contact?

Section 2: Support for your Learning

Are you in the care of a Local Authority(Y/N)? Y Are you a carer? N

Are you eligible for free school meals (Y/N)? Not provided Do you have an EHCP (Y/N)? N

Do you need assistance during an emergency evacuation of the building (Y/N)? Not provided
Do you consider yourself to have a learning difficulty or disability? Learner does not
consider himself or
herself to have a
learning difficulty
and/or disability
and/or health
problem.

Section 3: Ethnicity

Ethnicity African

Section 4: Residency Assessment

Nationality Sudan Country of birth Sudan

I have the right of abode and been resident in the UK for the last 3 years (Y/N)? Y

Which Country have you lived in for the last 3 years? England
If you have NOT LIVED in the UK/EU or EEA for the last 3 years, on which date did you enter the UK?
What is your current residency status in the UK? Refugee Discretionary
Overseas (Y/N)? N Visa details recorded (Y/N)? Y

Person Code: 867320 Report Name: Learning Agreement Date Printed: 05/09/2023 19:52:25

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Enrolment Form and Learning Agreement
Academic Year 23/24
Section 5: Employment Details

Date applies 31/07/2023 Self Employed (Y/N?) N Employer ID

Employment Status Not in paid employment, looking for work and available to start work

Employment Length Not provided

Employment Intensity Not provided
Low Wage Indicator Not provided
Unemployment Length Learner has been unemployed for 6-11 months
Benefit Status Learner is in receipt of Universal Credit
I live in London, I am currently not working or in receipt of JSA/ESA or UC and I want to be employed and/or Y
seeking exceptional support with social integration?

Section 6: Resources for your study

Do you have access to a PC/Laptop/WIFI at home (Y/N)? Y

Section 7: Safeguarding

Is anybody in your immediate household shielding (Y/N)? N

Do you have any relevant unspent criminal convictions (Y/N)? N

Note: Relevant means offences against the person, whether of a violent or sexual nature, and convictions involving unlawful supplying or
possessions of controlled substances. If you declare that you have a conviction you will be asked to complete a separate information sheet. This is
to help us assess any potential risk to yourself or others in the College. Having a criminal record will not necessarily prevent you from studying at
the College, but that will depend on the course you choose and the circumnstances of your offence. If you do not disclose a relevant conviction,
which is ultimately discovered, this could result in your being excluded from the College.

Section 8: Education and Qualifications

Name of Previous School, College, or University Southwark College

Prior Level of Attainment Full level 2

Person Code: 867320 Report Name: Learning Agreement Date Printed: 05/09/2023 19:52:25

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Enrolment Form and Learning Agreement
Academic Year 23/24
Course Details
Course Code Course Title Course Start Course End
30252 Level 3 National Foundation Diploma in Engineering
31735 Level 3 National Foundation Diploma in Engineering 04/09/2023 22/06/2024
(Aeronautical and Robotics)
Qualification: BTEC National Foundation Diploma in
Engineering (60175916)
Hours: 413.00
11654 Industry Placement: Engineering 04/09/2023 29/07/2024
Qualification: Industry placement (315+ hours, aged 16 – 18,
level 2 or 3 with a vocational or technical core aim,
occupationally specific, must be studying towards a type of
qualification that may align to T levels in future and includes
an external work (ZWRKX002)
Hours: 315.00
32492 16-19 SGTF for 30252 Level 3 National Foundation Diploma in 04/09/2023 22/06/2024
Engineering
Qualification: Non regulated provision, Level 2, Science
Active (Z0001834)
Hours: 8.00
11612 Level 3 GCE A Level in Mathematics
11613 Level 3 GCE A Level in Mathematics (Year 12) 04/09/2023 07/06/2025
Qualification: GCE A Level in Mathematics (6031333X)
Hours: 167.00
11661 Enrichment for Level 3 GCE A Levels (Year 12) 04/09/2023 09/06/2024
Qualification: Non regulated provision, Level 1, Foundations for
Learning and Life (Z0001822)
Hours: 42.00
11658 Tutorial for Level 3 GCE A Levels (Year 12) 04/09/2023 10/06/2024
Qualification: Non regulated provision, Level 3, Foundations for
Learning and Life (Z0001922)
Hours: 37.00
29377 16-19 SGTF A Levels 01/08/2023 31/07/2024
Qualification: Non regulated provision, Level 2, Foundations for
Learning and Life (Z0001872)
Hours: 6.00

Person Code: 867320 Report Name: Learning Agreement Date Printed: 05/09/2023 19:52:25

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Enrolment Form and Learning Agreement
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Section 9: Learning Agreement and Declarations
This section advises you about your course and responsibilities as a student at CCCG and how we use your personal information
Capital City College Group Learning Agreement 2023-2024
By signing this declaration, I acknowledge and accept the following: I confirm that all the information provided on this form is accurate and that I
accept the learning program detailed herein.
1. I have read and accepted the terms of Capital City College Group’s Privacy Policy.
2. I have received sufficient guidance from the College regarding course options, entry requirements, my suitability for the course, as
well as financial and learning support available to me.
3. I understand that the College reserves the right to make changes to course arrangements, merge or close classes based on learner
numbers.
4. I agree to comply with the College's policies, procedures, and Learner Code of Conduct, which will be made available to me during
induction.
5. If requested, I will complete the GLA AEB Learner Survey.
6. I have provided the Enrolling Team with the requested evidence of certificates of education, residency, benefits, or salary.
7. If I am assessed as an overseas or international student, I acknowledge that I will be required to pay fees for all aspects of my study
and any additional enrolments during the academic year.
8. If I am required to pay tuition fees and have agreed to pay in instalments, I will make payments promptly and in full. I understand that
late or non-payment may result in action taken by the College, except in cases of death or personal injury caused by College
negligence. I understand that the College's liability to me, whether in contract, tort, negligence, breach of statutory duty, or
otherwise, is limited to the amount of tuition fees paid by me or on my behalf in the relevant academic year. If I apply for an
Advanced Learner Loan or Student Finance England Higher Education tuition fee Loan and am deemed ineligible to continue
studying on the course, I accept that I will be responsible for paying the fees myself.In the event of my withdrawal from the course, I
understand that CCCG will claim tuition fees up to the date of withdrawal from the Loans Company. The College retains the
discretion to determine whether I will be charged for the remainder of the tuition fees, depending on the reason for withdrawal and
the timing within the academic year. Capital City College Group Fees Policy is available here
9. I am aware that CCCG may process my personal data, including the use of CCTV, for the purposes of maintaining premises
security and preventing, detecting, and investigating crime.
10. CCCG reserves the right to contact parents/guardians/carers with parental responsibility for learners under the age of 18 on
31/08/2023 regarding but not exclusive to attendance, progression, discipline and any other matters. Parental responsibility is
defined in Section 3 (1) of the Children Act 1989. Further information on your rights is available at: https://ico.org.uk
11. By signing this form, I give my consent to CCCG to process my enrolment and personal data in accordance with the GB-GDPR
guidelines.
Education and Skills Funding Agency (ESFA) Privacy Notice May 2023
This privacy notice is issued by the Education and Skills Funding Agency (ESFA) on behalf of the Secretary of State for the Department of
Education (DfE) to inform learners about the Individualised Learner Record (ILR) and how their personal information is used in the ILR. Your
personal information is used by the DfE to exercise our functions under article 6(1)(e) of the UK GDPR and to meet our statutory responsibilities,
including under the Apprenticeships, Skills, Children and Learning Act 2009. Our lawful basis for using your special category personal data is
covered under Substantial Public Interest based in law (Article 9(2)(g)) of GDPR legislation. This processing is under Section 54 of the Further and
Higher Education Act (1992).The ILR collects data about learners and learning undertaken. Publicly funded colleges, training organisations, local
authorities, and employers (FE providers) must collect and return the data to the ESFA each year under the terms of a funding agreement,
contract,or grant agreement. It helps ensure that public money distributed through the ESFA is being spent in line with government targets. It is also
used for education, training, employment, and well-being purposes, including research. We retain your ILR learner data for 20 years for operational
purposes (e.g. to fund your learning and to publish official statistics). Your personal data is then retained on our research databases until you are
aged 80 years so that it can be used for long-term research purposes. For more information about the ILR and the data collected, please see the
ILR specification at https://www.gov.uk/government/collections/individualised-learner-record-ilr.ILR data is shared with third parties where it
complies with DfE data sharing procedures and where the law allows it. The DfE and the English European Social Fund (ESF) Managing Authority
(or agents acting on their behalf) may contact learners to carry out research and evaluation to inform the effectiveness of training. For more
information about how your personal data is used and your individual rights, please see the DfE Personal Information Charter
(https://www.gov.uk/government/organisations/department-for-education/about/personal-information-charter) and the DfE Privacy Notice
(https://www.gov.uk/government/publications/privacy-notice-for-key-stage-5-and-adult-education)
If you would like to get in touch with us or request a copy of the personal information DfE holds about you, you can contact the DfE in the following
ways: Using our online contact form https://form.education.gov.uk/service/Contact_the_Department_for_Education
· By telephoning the DfE Helpline on 0370 000 2288
· Or in writing to: Data Protection Officer, Department for Education (B2.28), 7 & 8 Wellington Place, Wellington Street, Leeds, LS1
4AW
If you are unhappy with how we have used your personal data, you can complain to the Information Commissioner’s Office (ICO) at:
Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. You can also call their helpline on 0303 123 1113 or visit https://www.ico.org.uk

Are you happy for us to use your picture freely in College marketing publicity (Y/N)? Y

Learner Signature Date 05/09/2023

`sig, fd=Learner Signature`

Staff Signature Date 05/09/2023
Last enrolment created by CCCGWorkFlowUser

Person Code: 867320 Report Name: Learning Agreement Date Printed: 05/09/2023 19:52:25

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