Distance Learning

Enrolment Form
PROGRAMME DETAILS:
PROGRAMME COURSE
TITLE: CODE:
PROMO
CODE:
Start Date: Course
Fee:

PERSONAL DETAILS:
Title: Surname/Family Forenam
Name: e:

MAILING ADDRESS FOR MODULES:

Course material should be sent for the
attention of:
Building Street
Number: Name:
City/Tow Country Postcode/ZI
n: : P:
Telephone Email
Number: Address:

APPROVING MANAGER:
Title: Surname/Family Forenam
Name: e:
Telephone Email
Number: Address:

BILLING ADDRESS:
Building Street
Number: Name:
City/Tow Country Postcode/ZI
n: : P:

PAYMENT DETAILS:

PAYMENT OPTIONS:
Credit Card : Bank
Transfer:

CREDIT CARD:
Credit Card Expiry
No: Date:
CCV Number: (Last 3 digits on the back of the card, front of
American Express):
Cardholders Name: Cardholders Tel
No:
Cardholders Billing
Address

BANK TRANSFER:
For payment by bank transfer (excl. US$ or HK$): Informa UK Ltd, Account
01825550, NatWest Bank, Colchester, Essex, UK. Sort Code: 60-06-06, SWIFT Address:
NWBKGB2112B.
Please send a copy of your transaction receipt and invoice number to the organiser on
payment: fax: +44 (0)20 7017 5657 and ask your bank to include the reference

ABOUT YOU:

EMPLOYMENT DETAILS:
Present Job
Employment: Title:
Employed Since:
Building Street Name:
Number:
City/Tow Country: Postcode/ZI
n: P:
Telephone Email
Number: Address:
EDUCATION: (You may be asked to provide copies of all relevant certificates)
Examinations passed and examinations taken which results are not yet known:

Examining Yea Lev Subject

Body: r: el: Grade:

INDUSTRY EXPERIENCE: (Please enter details of industrial and professional experience

or attached a resume)

PROFESSIONAL QUALIFICATIONS:
(Please give details of any professional qualifications & name of professional body)

LAUNGUAGES:
Mother
Tongue:
If English is not your mother tongue, please give details of any English language courses
(eg: IELTS, TOEFL) that you have taken or details of how long you have been speaking
English:

REFERENCES: (In the event a reference may be needed to support your enrolment,
please give the name and address of one referee and his/her position:

TRAINING MANAGER: If you are being sponsored by your company, please provide the
name of your training manager or person responsible for training:
INVIGILATOR: (THIS IS MANDATORY) Please provide the name and contact details of the
training manager/
manager acting as your validating examiner:

SPECIAL NEEDS Do you have a physical or sensory handicap which might in some way
affect your studies or may require specialist facilities or treatment.

PLEASE SELECT YOUR SPECIALIST MODULES

For the programme you are taking, please select two specialist modules.

CERTIFICATE IN MOBILE DIPLOMA IN MOBILE

COMMUNICATIONS: COMMUNICATIONS
A. Radio Systems A. Advanced Radio
B. Core Network Systems B. Advanced Core Network
C. Business Processes C. Security & Fraud Prevention
D. Marketing, Branding & Services D. OSS/BSS & Billing
Integration
E. Billing & Mediation E. Marketing, Branding &
Services
F. Network Implementation - F. Commercial, Aspects of
Basics Telecoms
F. Commercial, Aspects of
Telecoms

DIPLOMA BRIDGING/INTEGRATED
CERT-DIPLOMA
A. Business Processes in Telecoms
B. Advanced Radio
C. Advanced Core Network
D. Security & Fraud Prevention
E. OSS/BSS & Billing Integration
F. Marketing, Branding & Services
F. Advanced IP

DIPLOMA IN 21ST CENTURY DIPLOMA IN LTE & ADVANCED

TELECOMMUNICATIONS:
A. Access Network Technologies
B. Core Network Technologies
C. Converged Service Delivery
D. Digital Television & IPTV
E. Billing & Support for Converged
Services
F. Network Implementation - Basics
G. Security
H. Operating Effectively
COMMUNICATIONS:
A. LTE Radio Network Planning
B. IP-based Core Network Dimensioning
C. Service Delivery & IMS
D. Traffic Engineering, QoS & MPLS in IP
Networks
E. Operating Effectively
F. Marketing Next Generation Services
G. WiMAX & other non-3GPP Access
Technologies