Pies Osi eee ‘ james Lifting Equipment Engineers Association REST OF WORLD ONLY ~ EXAMINATION ENTRANCE FORM COMPLETED FORM MUST BE RETURNED TO: oxams@leoa.co.uk Date of Examinations ‘Thursday 19" April 2012 Closing Date for Entries. ‘Thursday 18 March 2012 at 9.00am ota torGuitones 41 Alta of ia Examination Errance For me be cmplts. In paler itis ESSENTIAL Bat he EWPLOVERS DECLARATION enigma 2 The compet Examion Enirarce Fr shuld be forunced 9 LEEA sth bj oat rence ts ‘omens suis nd mes bo rosowed betre he cost oso 2. Inte avt ot ny cancllton arti wiley be mado wo rosso cancelation bel the 4 Candis who te compet te carey thy 2 Conatonton ‘sang stunt urner ona Examinaton Entec Fam 5. emai conileted Exnmipalon Eaance Eons must be forme tp LEE cnet aston ‘hazmana a9 ssh form stro ncduly agaist be eplyess LEEA dlatase record. Each Palod dostnert cos be aac toonesovereg 08 6 Paymenter te wxaninatins mute ety eedtdeitcard cheque cr bnkpayent Payment must tetnode plore te Goaing data ae examnaign anrarc forme wllta be prosessea iho payor. "cre cad fm soi be FAXED Bs LEA asa separ durin 1. incomplete examination Enirance Frm wiberstuned Ths {he cxaination tosing date (Please use BLOCK CAPITALS) Frieden Capua HAMAD FeinbyNnie KAS Thername entered above wl eas shown on your eet, S00 example 3t end of etanco frm. Wome aes eae ‘Conga name (ne anche) OS fitersian Ce Lie Page pace a ekinthe box longue the subj) you wish to sist ‘wt Peiod-(Vihours) [Wow [ndPeiod- hour) | ek [Sra Period fPhows) [ok sionam-10308m fs | Tossen aon | 2000 420pm | an Eonee Cotte Ung across | [RRBEORER | zeal ie we say [ass] —_ Sa 16 Be 88 op by the eb POWDERY BRET TS LEER we East Tabs | dorethe conngdnte. We cannot accapt venue rangements ster heclosing te, uisetnes for | (@) Thevenveana sangenetis st ses by LEA path sin daa nea. (©) Taecsabletmentnust ride anamedmamntatesttosetas anor ara Mam Nopape (© Alzoat toon he, later ateue tone fo tha rari papers backto LEEA a ‘i kg sai ee he mcr) ee amoars wshg arang anovrasar examin shoud ea EEA (xamsiteea. oh ih he (9) Mae ae fill otal dees ne proposed extn ven (Hao shoe ante eset ttt tne ona its ern ah amis {ove notes abovel GRviaga noni. | Dlakeawii CLAMS FOR EXEMPTION Passe complete ao appropriate (used ls sti 178 (Ochoa apart) co () Spassed at Grou | artoan08 Sr fa) *pameed at Gop ports 2005 : E _ _| EMPLOYERS orcLazarion (TO BE SIGNED BY EMPLOYER ONLY) "heey erty ht mis cane gee under he es of paagroph eft Syabus © the Examiaton edn oto, saan race! expetencn wh caren th panang ta Esaminaton ne ‘Stee stare mater etn act as 8 Te an Exarnrn ose suk Sie Ae pa Zh 9 Deve Naw Cousiney Mynaeiniam 1a The Agencies Ptek a 6 dal eratatines — gto vmuaannianl © S45. Com cea sxaumnation Fes (Inclusive of VAT) “Toe fotening es ae du tne inf sutrting feet frm. chins edt reactant be rode exept os tated pudsrce nes Thsoramiaton nance £2509 ony abv oncicepacie thon nen tarnaen Recast ‘aang ani sr i enter ‘800 Lesa arin: Maral 00 Pet Entice Crise £2200 Ling Maennes Pon eco Ling Equpméct Genera 80.00 Runways Ugh Crane Siictes £5600, Meriop oF PavmenT * Choa erased cunt mse payble Pune Stern “Paya cre or dat cnt- Pease compete om vera anton toe LEEA. For secu ressns jet oN an ty oaLifting Equipment Engincers Association REST OF WORLD ONLY — EXAMINATION ENTRANCE FORM COMPLETED FORM MUST BE RETURNED TO: exams@leca.co.uk Date of Examinations Thursday 19" April 2012 Closing Date for Entries. 1 Alps ofthe Exainaon Entrance Form ace tbe completed Inport ESSENTIAL fat the 2. The compat ExarinatonEntance Form thud be toward to LEEA thar by post or eed to [tare fleescaue nd mont be caves bso the cosy cae 3. Inthe oven ofany cantina ony be made we ae rabet the cancelsionbat he Soong das 44 Candas who have complied or ae cure taking 2 Caespanderce Course shoul ene thet ‘Siting siden rumor on re Eearenation Emsanas Form ‘Thursday 15 March 2012 at 800am 5. (temaied candied Examination Entrance Fos Aas separate pions (Geman oe sort fore loved ndvcsly agseat the employee's LSEA tose ooo Each ‘ior dosunent canbe etsone a ono eoorng ema 6. Paymertor the examinations musta aarby raieabtcard, chaquser sar paynent. Paymorimust beimads bofre be losing data eararaton tone os wnat b roca witON pa me ‘Thaenatibe card fam soul bo FAKED (9 LZEA 3s sagas Suns 11. incompleto Examination Entrance Forme wl be ratumed. 1s may resuta tne canaaace missing the examination soeing date ‘use BLOCK CAPITALS) ester Gren Namet; TARYG® TARAC Fay Nene ary ‘The amo entered above willbe a shown on your ceria. 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Onracepo ek contain LEEA ‘itera azpine ote vos hemensr somes ‘Details of enue estan {coe notes abot) ives prism COoncre Cesenerd) LAS Fon EXENPTON. Pe complete poopie "Sempre Ey Ein i (sponse a spaced eject port 1575 (Oa as aporoprity ce {passed Pant Group 1 peo 2005, iy *pacced Pat Gow 2 rer 2008 ‘Arie Or COMPLETING TH FORM, PLEASE GVEA BRIEF EXPLANATION OF THER DECAL TY THEBOXEELOW, eupLover's oecLaRarion (TO BE SIGNED BY EMPLOYER ONLY) uy crit i ant ag ih ar oes 3. Sibert) enres mato ber congeon sired ‘Exauwarion Fees (Inclusive of VAT) “The folowing foe a0 ae ate eo abi eer orm. Rand or ees for cancion wr be ‘rave noo ttosnpatarce re 3. Ticcramnaienentncles 250 sory pay ensue cthowany arnone Mecano ae Fo 300 Ute acne anal ssa Pat trance Carieae £200 Lite Marines Pewee 5000 tno Eavement Genet £5000, Parmaye LigCranestuctes £53.00 METHOn oF payMeNt * Chas enclosed = Arcut mt be payee in Ponds Steig + Payment reo dei ard Pleabe complete he fom oes ad facto He LEEA,Forsecry sane peatede HOF clan toy emai3 Osprey Court Tat 40) 100 445442 Cran) gine Way x40 00 36514 eek sss Pak ESol atelnarouk ‘Ua ado (ret Execute: oot don Lifting Equipment Engineers Association REST OF WORLD = EXAMINATION ENTRANCE FORM COMPLETED FORM MUST BE RETURNED TO: exams@leea.co.uk Date of Examinations Thursday 19" April 2012 Closing Date for Entries. ‘Thursday 15 March 2012 at 9.00am 1 Algor of he Exorinaton Enrance Form are Be complete. In preuir tis ESSENTIAL tathe EMPLOYER'S DECLARATION gpd 2. Tre compl Examination Eira Fo shal be foward to LEEA eer b posto” eaalesto Eranflaeacouk and manta rsavedsalee the Soang came Inthe evant of ny cancelation refuel oe made we are notin ofthe conealatontetietne Slosng aa. 4 Candidates who have completes or ee cuenty taling a Carespondence Course should ene thee ‘eng sheen umber onthe Examination Entaces Pen. 5. (Lesmate cma Examination Ena Forms must be fond 2 LEEA 2s seperate rod ‘cumans as sach tar strodiateculy aganet te employes LEEA astabace recor, Ech pane’ dosument can ba sched one sovrng ema 1 Paymentforhe examinations must eer by creer, chasuerbarkayment. Payne must be nade oofr he cosng aso os craminatonerance toma wil ot ba processed iho! parent. he eel deb cut fn ou bs PARED fn EE os a apace ent 1 Examination Entrance For wil be atumed. This may rutin th eanddate meng mination eosin date, (eae use BLOCK CAPITALS) rteccana nanny KUO KPXA roman SYED Thee etd abore lbs sown o er cea. See crnpll end of aes om orcs AUGUST OF, 17 7G Semmes Feneasiees cise No12[23 _STREFT Me. Yb ADwA CoLeny kunvyand [oex, Spuovioey MOSMALPORA, LAwcee [oesinr Sete Coan rand teh S68 Letsscane Lei 150, rmosiame Gainces Ha Geree5, . 4 Kegives lnc Aten. Kreveu Tvde0 Papiien | Paso place 2 ck nthe box alengeide tha subject) you wish a enter ‘atPeriod -(Visheurs) | ck | 2nd Period - (3 hours) tick | Sré Period —(2 hours) [tick | too ea Em cae (eeR ee ny_[ eos | [eed(©) Tre menber onary meso ad bok a sutateexantaon venue. Toe sul, must bea recngued betel Coane eaabshment, (@ ngssnue snd aang mus i ars ty LEA ea tn sng fo eis © Te erabhemetmat ode ramed mantras nina ma vem hermes (©) Atco otcom nie, rin scare tanepor the rurofwarsnaton ports backtoLEEAIN Cea tram sito ber oy he maar) ses Marte wtng to arange an ota erie shou ema EEA exams wt he (1) Nan ado Gs weo e epad emia ot, ©) Nan. tigatone nmr ant ms bas Wet tuum ke ne sococen toe aanaonans LetAnilcininese rangers nthe xin ve. Oneal a cain. LEEA nll e-mail acceptance of the venue to the meenber company. a Came [Beri Conca tenen CLAIMS FOR EXEMPNON - Pa Pt Eiry Examination pon or Por? Entry Examination Raving: nes apocisos sje! pro 187% (-Oat6 2 ppopt) ih “bossa Pat 1 Grp 2prarto 2005, compet ao approprite ANODATES WITLEARNNG DIEFICULTIESIE.OYS DMNKE LEEA ana ime eee eee EMPLOYER'S ORCLARATION (TO BE SIGNED BY EMPLOYER ONLY) owas prc tin uso te Eamon ‘blocs ered mane shor rnp a nef ond lamer ise sss om Ye oe = coe ing ‘SxAMMNATION FEES (Inclusive of VAT) drag eal sadn parce re Testi eee 86. soar rc awry xanthan Patt Envance Cwtcale 2200, Ung acne Power 8800 Uta EqupmentGenest 8000 ume AUpntGrae Swetues $6800 ‘werwon oF Save * Chea nos Acuna in Pound Sting, = Paymity cer det cas - Pease conplete ha om ore ataxia LEEA, For secu eons pee do NOT an byecanara ean ee a ‘ere ht sor cnet Escutu: Got ion Ltting Equipment Engineers Association REST OF WORLD ONLY — EXAMINATION ENTRANCE FORM ‘COMPLETED FORM MUST BE RETURNED TO; exams@leea.co.uk Dato of Examinations... a 9 April 204 Closing Date for Entrio . Thursday 15 March 2012 at 9.00am Notes or Guidance 4. Algans of ie Examination Enrnce Frm ae be comptes. In prc s ESSENTIAL tat he EMPLOVERS DECLARATION Ie signe 2. The conpistoa Examinaton Enance Form shuld be frwatded to LEEA ether by posto mated to ‘eames ou nd mtb» recaved boar he Cosa dae 5. Inthe evet of any carcalation refund wil ony be mad Ie losing te. 4 Candee wna nave creed are curently tng a Gonespondence Course sho enter thr tsisog todo umber on he Exarnaon Envence Fer 8. emated completed fxamastion Fateance Fons rt be nae ‘euros at eas fom i sored nda agit he smpoye Fethard doen canbe niso™edts ore covereg oa, tedol th cancelation eto the le LEEA as separate gator LEER cobace record E50" 6. Paymertiorecxaninaons must be ether restlsticars cheque ocbanepayment. Payment mst tetrado befor the dosing das as exarinatn enfares os wa at we proces ie pay ark Talc cand on subs FAMED (2 LEEA as ase cue 7. incomplete Examination Entrance Forms willbe returned. This may regu inte candksatomisng (@tease use BLOCK CAPITALS) Fs or Gen Nama: VO 88> Fay ame: 1" RAWAL example at end of entrance fom Daw oto Dror mere ot, 1476 Cpe BY Le Cuecuaupins . Distbici Samir. 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Refuse econ wil nt be inne except a itd gance nie 3 Tgeaninton rnc E50 ety aa con especie cthow many mri cans ance Fee 3800 ning sci ana ssa00 Pant nance Caste £2200 Ling china Power sma00 Ling Eavemant canara) 5900 Runaye@ Ut CraneStuuee £5200 IMeTi00 oF raven = mort ate sab car Pleaa complet he form ovat snd lack o th EEA, Forsacutyenson ese do NOW st by“sumer cat ws eb 48 0) 480 48402 fxm) Lifting Equipment Engineers Association REST OF WORLD ONLY ~ EXAMINATION ENTRANCE FORM COMPLETED FORM MUST BE RETURNED TO: oxams@ Date of Examinations.. co.uk ‘Thuraday 19" April 2012 Closing Date for Entries, for idence ‘Thursday 15 March 2012 at 9,00am 41 At pate of he Exarination tance Form ae be completed. nparteuartis ESSENTIAL tat he ExbLOves DECLARATION cies 2. ‘The completed Examination Entanes Fe shuld be forwarded a LEGA either by posto ema 10 suameflacs cack nnd ut be roses Peo the slosg le {Inf evet of ary cancion afd wi any be mde wo areraiteatine cancion bbe ‘dosing date, 4 Canales who nave compl or ae curenty aking © Canesponence Course should ent thr ‘Sheng sudan umber othe Examination Ertaneo 5. emal conte Examinaion Eman Fons mut be foarte to LECH as separate pSteaat ‘Eeumons as sac frie sored nauidaly aganat ba emplyess LEEA dalabase ross Each patword dodumantcan be asco" one coving oma 6. Payrentfrtn examinations muctb other b eed card, cpeque orbank payment Paynertmust belnade ble te dosing de ss examnaion sane forme wi pote processes whan payne ‘Da ems cdf sou be PAXED fn LEEA ava sepa docu 11. Incomplete Examination Entrance Forms wile returns. 1s may resin me cance missing ‘he oxamiaton closing dat. (Please use BLOCK CAPITALS) Frater Gon Nameisk Murino wr Famty Nama 1151100) ‘The nar entre pleat ond of entrance som. ‘Company name (and branch # aplcabl): Plows place a tckinthe box alongside the subject) you wish enter [Ttrenoa-rimeus ugk [anaPorod-(@hows) [tek [3roPoros— (hou [ack ‘m= 1030m 2, | estima |e sate Fartearocecentae | [utngiiecinenina | wi aEgmeer 4 ‘ing Machines Power |en se st up by he weer company nd roiled LEEA a wing a aost 7 aye] sitet ning dat canctacensvenn mangers are Ganing dt, Caines or | 1 temantes mma mu fant uate eannten ron, Tobe sn, tit na 12) Thevenwa andattansmans must ba area by LES proto closing aso crs, | 9) the chet mu ode anandmenb testo xaniaor et womb © AltcortsGeroombie nig ecue tans he returo xamiaton peers ecko LEEAIN Unt ng anal be brn mare) ine Lamers wishing oaange an orereensexrinafon sha! et LEEA eames 8) wi he ‘showing ens (0) Name snl pata tan tte proposedexsmnaton verve. (@) Mam, eenhane nunbe nde cies fie echo sponse fo:tnesaninatin ana Wiha ths efor (Fem ntl aeowiesge the vena rangers LEEA icon thse sarge ih he axainton vu. On eo ofthe ennai, LEEA ‘toma accoplnco te vans te momar company fwenaweaton) | BQitiser Cotwew Csoeacee) Peat Ent Examination (“pated speciaod tet er ar) spareon Port cup prestoamns Sr) “faneedPar Grop2prorioaoe EMPLOYERS DECLARATION (TO BE SIGNED BY EMPLOYER ONLY) Away aya ands gud te os of aaah. Sythe amiion ‘sibject) ett mater competnt a nen Yet and Barner bare see De 2-20 Signo SL ate re 3 fee QAO Mingo LN mn Dies ee eretesnen ft apts Eg com ‘Exauuarion tes (Inclusive of VAT) ‘The fotonng ees redo ae tect submiting he ey orm. Refunds cots for carceatin wi be ‘nate oxen on sltes in uance nie 3 “Tn eraminatonetance fee 035 00s ny payee ncainerpactsol how many examination ecandaic ‘ah an ho ay : ‘ nance Fee 3500 Lune teeing area ss000 Pant EaeanceCarteste £5200 Luna tctnes Power e100 Ling Eauipment General = £5000 Runways ht Crane Srcties £58.00 "neque encesed Arcut mt be payable n Hund String + men ty cot or cbt ears Pleas conpeethe fom ovenaatandtox tothe LEEA, For oct rams prabe s NOY eum by ena0 s4nees ams) (9 1asocoesia Erol cendiescnik ted Rego hit Erection iting Equipment Engineers Association {EST OF WORLD ONLY ~ EXAMINATION ENTRANCE FORM COMPLETED FORM MUST BE RETURNED TO: exams@leoa.co.uk Date of Examination: Thursday 19" April 2012 Closing Date for Entries... |. Thursday 15 March 2012 at @.00am 1. Alport ofthe Examinaon Enance Form ae tte completed. In parca kis ESSENTIAL tht te ENPLOVERS DECLARATION signs 2. The complete ExaminaonEneance Form shai be fxwarded to LEEA eer post or eal to ‘exfaca ca anarunt be roca before the cosy Sate 2. Inte vertot any easiness tony bo mae fo are noted! ne canceaton ete 44 Gannes wo have competed or ace cure tain 2 Coresgondence Cou shou ene he ‘Seng sada namoer one Barns eos a 5 (Cematedcomostes 9 conte ont ‘Szamants os each or trod sy nt empayers LEA caabars coe. ah paler document con be sachea's one covering rah, 6 Peymentor he exainatons must be ethry crear, hems rbank payee. Pye mst Bemags bore the dosing a an cxornaten crane om tbe pecerced wine paar. "he edie co fam ibe PARED fa EEA ga asa dace 7 Incompoto Examination Entrance Forms willbe eure. Thi my esURIn the candidate ising (Go ctaaneton soning eat (Please use BLOCK CAPITALS) | ester cen nema: iHAInni“eDD amy nae: /)S/F [oamotane JOLY 25, 144 ‘Student No [Nee Mnsiio Ce RAk-€-ranoinin Tne Tend. Sg nee0. 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(ener cit) {CLAIM FOR EXEMPTION Please complete a appcopite Part Entry Examination "clam osemeton fx Pat 1 Er Exainabon heen: 1). passoda specced sujet porto 1975, (Dee a propia) or) Spa ry Ba EMPLOVERS OF CANOIOATESNITHLEARAING DIFFU, TES IF, OYSL.ENA SHOULD MAKE LEEA AWARE Ee: Somes os OM. PLESSE GNE SREP ENP Ghaton or Tate DEFT M EUPLOvER'SOECLARATION (TO BE SIGNED BY EMPLOYER ONLY) stones Z ba pas Gefeued Sn werwniGsPibaes. cas emat easess bode, re beimen svat a ‘Ssaumarion sees (Inclusive of VAT) “Tha flew fos are at he tn of uring the ey em, Reknds ced er canclain wi be ‘The exainsonenance ec £35 0s ny pysbaorco especie ofhow many erainatens the cana ‘neg onthe cay. mance Fee 3500 ning Machines Hana ssa.00 Part Entance Crieste £3200 Ltn Machines Poner e200 Ling Equpmert Genera) £5900 uray ight Crne Stuchres 98.00 Me1400 OF pave * Cheque econ Amount mist be yale n Pounds Staring + Paymenty coc dob card Pleae caplet neem ose snd facto LEEK, Forecuny ests pleateso NOY tin yah sath 0 ert ab12- Beetsacne ~~. eo ta Lifting Equipment Engineers Association REST OF WORLD ONLY ~ EXAMINATION ENTRANCE FORM ‘COMPLETED FORM MUST BE RETURNED TO: exams@leea.co.uk Dato of Examinations. ‘Thursday 19" April 2012 Closing Date for Entrios ‘Thursday 15 March 2012 at 9.00am ote for Guldance 1. Apa ene Sxaniraten Envance For aot be compltc. In prlsartie ESSENTIAL tthe EMPLOVERS DECLARATION ned 2. The camped Examinaten Eavence Farm shad be Soar to LEEA sth post orem to ‘ames 2a na mun bo rovsved tore to in 3. the event fay cancelation arefnd il only be naga we ate nad th cancelation fo tho toi dt. 4 Candi who nave completed o sre current taking ® Carespondence Cause should ete the ‘tng student ramberenthe examinsbon Ertan Pm 5. (Lesmsied complte Examinatca Entmoce Forms mus be forwards to (SEA ae conor tort ues ws each or sere ndvoualy apane! fo Sveloyees LEA disse ace Each two documentos) beatae a one coving end {6 Paymort forts exsnioetons ste eter cece carcaqieorbck payne. Pyisctiust be mado before he losing dea exaninaon erance ma vl ate pocsesed witout aye “Tne cei ca fom sui he FAXED fo EEA oso spare docs 7. lncompeeExanaton Erianc Form il rane, Thay reunite msing ‘use BLOCK CAPITALS) Fitercveananeg: 57 ED PORSS FH my ne HSN Theme etd stor wl a to on your creat er eranglstand of onan fom 196 B36 SEcia st Please place a Uek the box alongside te subject) you neh tent ‘Period (thous) [tek [2nd enog @hows) | ek [rd Penind (2 hous) [ck cam 10.20 5. | tsa: ssn eee fs sag | Monsoon Bora FU Coe mas (CREA onic we ony [oo | Tearatacent toanerthe ong ie Guetnes o- (0) Thema compan must ng nd book = ‘ehagnted bute Cconol exteiatnent (© Treexanetmen mustpov nist onato nto page (9) At oe enon he. ecu tape fre ou toxin ges baka LEER ‘nea kino shite Bm by meer ewes pote yeti wera an oe eon ols LEE ase ca wh te (9) Name an pot aren fe propaced want ven, (@ Nane,lehone number nd esmal aes othe eran ell be sponte ete amination anes iho ts oometion ew ht node enon ranges | Least conten hase wrangenerts ihe enination verve, Onc of hl conto, LEEA {CLAIMS FOR EXEMPTION. Piasee complete 32 approprite rt En Examination ‘lam semgeon Pat Ey Examinatn hain: (). “psesed a peice satel oro 975, (Dea epee) cor iy Spaneed Pat Grp prota 200s Gr iy “passed Patt Grp 2prere 2008 EMPLOYERS OF CANDIDATE'S WITLEARNNG DEFICLL TES IE DYSLENA SHOULDMAKELEEA AVARE ‘ALTE OF COMPLETING 43 FORM PLEASE GWE & BREF EXPLANATION OF THEIR DIFFICULTY IN ENPLoven's pects (TO BE SIGNED BY EMPLOYER ONLY) ‘geben at conan otis ea pra th pao sha ama ‘bjecip cred maa iver carpet sts Senos ne co tone OueC By AIcoronRa Rito re Pibuiinn? Ape nat astoes pista muntimnnned € Ff c0m es ‘BaHtnATION Fes (Inclusive of VAT) ‘The toning esse ae stn met sorting he ny frm. Ratings ots ox cancion be rose cele aed mgucnnc es) Tre axanineonentence enol 35 0D zon payatacteairspectuacthow nary sania tecanaels (Shon edo : Entrance Fe eo Lite acne Manat 5000 Pon 1Enace Caries £3200 Lt Macies Pee seco Lng Equpent General £5000 Fumeys UpitGrane Sinctee r8800 {MEMI00 oF PavneNT = Papen ye dei car Please compen fh ove! nox IO MNALEEA, Fer sci casens pate ONT octen ty eat iTirehgbreko Busters Pate Eat nametiees uh Cad gdm hit Ecce GenHtion “Keene ws TS eae ach acts zc Lifting Equipment Engineers Association REST OF WORLD ONLY ~ EXAMINATION ENTRANCE FORM COMPLETED FORM MUST BE RETURNED TO: exams@leea.co.uk Date of Examinations ‘Thursday 19" April 2012 Closing Date for Entries ‘Thursday 15 March 2012 at €.00am Hotes tor Guidance 4 Aipats ofthe Examination Enance Ferm a1 completes. In parr als ESSENTIAL fat the EMPLOYERS DECLARATION signe 2. The compatod Exarinaon nanos Form sould be forward to LEA ethor by post or eal 0 ‘aries cond mus be rseved before me closing te 5. nm event fen cancalonaetund wit ony be made two aorta ofthe cancelation bdo the oung dae 4 Canidae who ave compte or ae cure taking 8 Garespendence Course shoul ener thelr "sing stident numer on the Exarunaen Envence Fe 5 emai comolted Exoniotc Entanca Forms mus! be fetus to LEGA as separ fond ‘cmor a2 2ach frm ts stored nowy agate amplyoo's LEEA daabase recor. Each fincd dosument can beatae to one cover ones {5 Payment forte examinations must ahr by radlebitcare, cheque orbark payment. Payment mst tetmoue before reclosing dean Searnetion strane fame wi tbe proceeted without pyran ‘Iho sivs card am Should ba AXED ta EEA ne 9 seprae document 1 ncmplete Examination Entrance Ferma willbe returned: Thiemyrsutin th canldatomieting ‘he examination closing date (Please use BLOCK CAPITALS) Frstor en ama: F712 9709~ Fey Names I< 141 Daw olaan C7 er - (977 Suerte [Home sci: fren me 037 7 Comacais, Gian #B, QGevsiawt Tonan, toes 75396 Seen SIs [ rane namo (and ranch apeeabe: Pease pace stick inthe box alongside te aut) you wie to ortor| [jetrenoa- tows) [usr [anapetoa-erows) [ck [oaPenea hous) mm 120m | ost p 2, |2tnon tpn Pam 1 Envanee Cenfiate Ling Machines Mansa EReagERwpIeat owaye Suga Cane ER ie se a shea | ——~[avateo [Trae] stung A202ona (up he weir GoMpSRY ad noted o LEER in wing at aah TSE forthe closing ate We cannot seceptvenvearangomonts fr te cctng date, Gating or sting up venves or tod below 11) The monber compar mut a rbot ntateexaination von. To be suse, Rimustbe (2) Tae venue and anata must na ated by (SEA ooo fhe cosig co on ies, 6) Te sakrmertmitonde sree ment faassen pide be ae (6) eons Ge oom he ign, scare tanapr orth ur of examination paps back OL EEA Siaaadigany Sheree mares nese erar wig a aang o ren vin od LEER ana 8) wh ho (1) Name nat porta ata fhe proposed examiner venue (@) Nane,{sleshane nade: nd om asst ce while enon ts examin Hess Witu is elomotln GEA fal acetone he anos arangorans LEEA wil confer these arangemenis with the exainaton venue, On recaps of their contation, | Taine avenue ocaton | wen (eneced) | ‘cee he [ Berrsn C Lams FOR EXEMPTION Pree compl a appropia beet enn exannsacn ‘mene br Pat ny Barat tg 1) “put nope es uo conto i ox {) ‘Sonmibat' ie teks ans & Sitilem teins aterm SHE BOxsELON, eee Pesce EMPLOYERS DcLARATION (TO BE SIGNED BY EMPLOYER ONLY) nee erty bt his anda ee ude the tas of paragraph 3 ofthe Seb tthe Seaton \ZEREE Tiny pion stioent yachel eceranse ss as meornton wih passing Ye Exxon he ‘pa entrada hmbercompelentt cd apa Test’ an Exner Dos sects, sire i a, iin $= D075. Name Gla ARMY Edina tae OES Tem EE erat essoss Abttrmn omcbavmech 6 9.Cu0 ——#! eo ‘Examination FEES (Inclusive of VAT) tre eco ta frjudoncs rete ‘eestor irszet tn manors scencs nance Fee e380 Lungs eines Manas om Pon 1Enanee Ceniose £3200, Luting Machine Power ‘seco Ling Equipment Gener £5000, Funmaye 8 Ugh Cane Srucures £56.00 enioo oF Pavwet Cheque ancosed Amount must be payable In Pend String + payment lest ecard Please compte en oveletand ago ha LEEA, For acuta plea do NOT vant emaFrengiroke Denese are Erma exre@icoco ak aon ‘sebotslosae com ts ie Oem zc Lifting Equipment Enginoers Association REST OF WORLD ONLY ~ EXAMINATION ENTRANCE FORM COMPLETED FORM MUST BE RETURNED TO: exams@leca.co.uk ‘Thursday 19" April 2012 losing Date for Entries. Thursday 15 March 2012 at 900am 41 Alps ofthe xamnation Eritnoo Fam oot be complies. Ia porter tis ESSENTIAL hat be EXPLONERS DECLARATION sane 2 The completd Examination Enrnse Fam shouts be traced 9 LEEA oth bj post or eed to ‘ranean a bs Tosived before he casing eae 2. athe event of any cancion arate wl oy be ade we are oti he concolson ote the ‘oan ons tohing a Caraspondance Course shout ner hie natn entane Fom 5. ems camiites Beanivaion Eavanse Fans must be fond to LEE separate action ‘Santa each fr xed Indy sgaPal te eriployers LEEA deabase roca. Each fend dosterart canoe asco none sve a 1 Paymentorne examinations mustbe eter by eretsebt card chaque cx Dnkpoyrant, Payne‘ tenoue bulre be costa date se cramnaignantance forme wnitat be roceuestathou paar "Tones ean fom this be FAKED fo EEA a spore dosnt 1. Incomplete Exariaon Eniranos Porn wil be etared. Tawa eouRne candidate missing ‘he examination closing ate (Please use BLOCK CAPITALS) Fintervenewey ABDUL RASHEED rorynandi Raheem u Hal ‘ne ame entered 2008 wl Bo 36 shown on yur codes. See evan at and of entrance tm, benetems 75 yoaKeyn Ro Sumi worse wo, 317. Khyber GalOney. Batlle Taco Kevechie Conweny vans nd brane dapoieal p73 75 Fnstestiint fen Kase cbs eae placa asokin the bo longed the ube) you ws “eiPwid-(Whous) [ick Rnd edo), |Bek [Bra Pened= (enous) [on osen 2 iostenstaiom 2m stnm [Patience costae |v [ugiacine towa ——— [(© Toe rant company mt nd andi sie ena eno ul, a ©) Tesla anannnenir tice angio wiom pps (4) Alvcote 120m no, indghaer, secure vaneport fe the etn of examination papers backto LEEAn {i@ kgs sis Sem he mercer) anes tempor enna aranaa an avseeeciineton shoud 98 LEEA leameicea. cu wih De (9) Name are fil otal aes lhe propose xaintn wer ’ ‘aus: Whnou fe ienaion GEA io ace a vanes aengene peer [Bn cower Cec) CLAIMS FOR EXEMPTION Please complete as aopropriote Part ney Examination | am suamptin fo Pat | Ey Exon hg (“paseo plan eta pror 01975 (ota 2 apprpis) or (6) Spansed an 1 Grp part 2008 © fi) *poneed Pat! Grup 2prar 2005 EweLoveR’s prcianamion (TO BE SIGNED BY EMPLOYER ONLY) "head at alts cansate i gt una as of oysph 3 of he Sabu he Examiaton ‘rd asin my pn, usenet expen ew concn pana te Esamibaton Fhe tise ert maka hrabar campetnt acon Test ad amet ose Ss Sid b be Joo SS ee ame Sesion) IAAI. CN tue. DSi” En EL ‘Skaunarion Fees (Inclusive of VAT) “The atoning se vo athe sme urate en eam, Reins or rs reaction wet be ‘rate oxo os sian godanca ete 3. ‘Toqramrtonararca tea efE3500Ia ony payabia once espace othow man/arnatons the candle ‘ing on ey : nance Fee #3500 Ling Machines aa e000 Ling Equpmrt Genera! £5000, Raruaye Aiphcrane Secures £58.00 METHOD oF Pavan * Cheque enoged = Amcunt mt be payee Pounds Stag Payne ei cars Pease completa fewm ove an acto a LEEA, Fo sent eaons Heamnaa NOT remy emaMergen ee sc ‘yrooeo: nn eestor Lifting Equipiment Engineers Association REST OF WORLD ONLY — EXAMINATION ENTRANCE FO! COMPLETED FORM MUST BE RETURNED TO: exams@loea.co.uk Date of Examinations. Thursday 19" April 2012 Closing Date for Entri ‘Thureday 15 March 2012 at 8.00am Note for Guidance 1. liga of te Exarinaion Entrance Form are tobe competed. In parteularits ESSENTIAL Ist he EMPLOVER'S DECLARATION sted 2. The completed Examinabon Enrance Form shuld be forward o LEEA ee y posto nai to ‘lamadiaga sue and muat Us ecsved Gao the cosy te 4. inte event of any cancelation send ill ony be made # we arenetesctthe canes bear the oan te. 4 Candidates who have compl er are cure taking 2 Corespendenco Course should ete thi ‘Shetng isda user onthe Exaranaton Enwanes Form 5, esaied conted Examination Eneance Fons ust bo tonne fo LEEA as sina ac {Eguumani 96 cont fore sive ndviduy agnes! te erpoyers LEEA catabace rors Each ‘olor dasemant canbe asenes one exwenng © ma 4 Ponto hearin mba tery reba naan orn amet, Pama (Please use BLOCK CAPITALS) Fatercum ane OOOO TREN caninum, SYED oneorores Sf oF AP Sueno | vere ecaes_ RSE FB AREA GuLBERG KARAGHE Pants Company vane fn banc opt Paxistom, (edlid A=W Racor] TanicTeTA Piece plan ek nth box lenges th wet youwah fo ener ‘ist Period « (1Yshours) tick | 2nd Period -(3 hours), [Gok | aed Period —(2 hours) [tick | ar Earn Cane Litiog Mochines anual as eton (WEEK wee oj_[teios |_——Tewotes_ en et besa up iy Ta ober eompany 2 LEEA in wring attash Tas | rt coing ne, cannetacep one mrgemet eri Soong ene. tts or {1) The member company mst ed and book a wads examen von, Tobe stale, tus be a | ©) Mhexen xcamnnsnet mn nesgsedbyLEEA sate oa ss (3) Thecsablehment musi pout a ramedrenber cf sefo acta: ning andtowtemibe per | Gatezen! | conte org ent sci eanot ft un eainton ape EKO LEAN ‘Una kingdom) anal be ome oy ermembene) mstoe embers wing fo anange an cree exaninaon shoud e-nol LEEA eas @eea cok) wh he foo lama (0) Name and ut posal eres ofthe ropsed examination ven © Name ets uc on esac nie spel ei ‘renal acaplne ine venue oe rember Company (sce notes above) [ett Cowen Cen. Patty Exon 1), connedooecolned stp 2 cosa op oc {TRIO SeT Sey sre ams & tt “fmcerae erp 2 pert 8s ees) THE BOx BELOW. = SS fapioveRs scission (TO BE SIGNED BY EMPLOYER ONLY) iy ay rion nib nee ernst ae 3 Sahota Erentn SIG2EG ns mls percomgetontto oe a Tet on Earn n bese ses slows ye oe a Se ain ‘Exannation Fees (Inclusive of VAT) a due a heir fsb he ety orn. Runs or reds oreanetson wil ate Fado etap cette m sence ote The exomton enc oe of 3500 ony payable cess espe of ham manyexamistons he canes (Shing ont oy nines Fe 3800 Ling mucins Manual 000 Pett Eniance Carfente £5200 Ling Machines Power 8.00 Lng Eaupmen General £8000 Runways @ Uh Crane ucts £5800 METHOD OF PAYMENT * Cheque enclzed~Anount rust bo payala in Peues String. + Payer cro or eb card Plsue como the fan tls and ert he LEEA. Fo seu ressons ‘este da NOT rot bye6 chine uns Pas Ek emenien ok rc nom Chit Execute GeotHtdon sorprcan Ps esse £ Lifting Equipment Engineers Association REST OF WORLD ONLY ~ EXAMINATION ENTRANCE FORM (COMPLETED FORM MUST BE RETURNED TO: exams@leea.co.uk Date of Examinations. ‘Thursday 18 April 2012 Closing Date for Entries, ‘Thursday 15 March 2012 at 8.00am Note for Guidance 1. Allpans of tie Examination Enirance Fer te ob competed. a patulr i's ESSENTIAL at he EMPLOYER'S DECLARATIONS agnea 2. ‘The completed Examinatan Entance Form shuld be forward to LEEA itor by poser eae fo ‘hanstless ga and mut be reciever hs closing date 4. Inthe evert ef any eaesaton a eke lon be mado wo ae nied fe cancelision befor the Hong dt. “4 Gansistes who ave compte or ae cueny taking 2 Coreependence Course shout exter thee ing sede murnau an the Eeaminaton Enrance Fo. 5. fasmaiadcometed aminton Enance Forms mlb fanaa o LEEN 25 coporle vont (teunon a cant for sored ndwidusly aganst a employees LEEA colbose recor. Each pad Scament cam be asco a eno caren ma 4 ayant rh aaminations mute ether erat card cheque orberkpaynert, Payment belmode bloe ne cose date sa sxamnaonestancs fame ete poseeees wil Pyent ‘Thasanddceot cfnm suid be FAKED Io UEEA ose sepa dacunent 11. Incomplete Examination Enranes Fre al he rated, The may eesultia the candidate missing ‘the cxamination losing dats. (Pease use BLOCK CAPITALS) Frater Cron Namets) Uoiann7 a Family Nine: Tre oR ‘The name ontored above nil be #8 shown on yourcerifieate. See example a ond of entrance form. Da tem 04-05-1978 Sadi ane asene AD aero ade Call fice Sac Ancl Dl Rem yr Riad Menthan Koad ety dec pany nae Gn branch apse $08 talaslan( At) Lit WV Suck, § KewngiSoeudloa see Kesochi- Dune BE» ase pce» chin the Dox songede the ubjete) you wie ent “etPeriod Whours) | ek [adores (ours) [ck [3rd Pood = @ hours [tick [linea schines aru Tages ways & Lt Grane ue oi [Git |_—Twnatea TTenue bo bo sap By the member sanpany ahd roe o LEER in wng at wast 7 Says forotoiosng ate, We Cant secoptvenve arrangements fer the closing dat, Gunes for cting up veruos ar ated Blow (1) Tear consny mt fn andtok arate exoninton vou, Tobe sole, muon (2) Tena ad arangenmnl aus be ated hy LEEA prt fe cosine ats (9) Theesibshonimas provide nana rnomnerf tts alas ninvgior ante whom me papers (4) At costs com ,ngntr scare tanep the turn examination paper backto LEEA {isd keg arabe Bors ye ners cle entre wih sane mcrae ein else LEA nase he (0) Name nil pot adress fe propcodexaminstion ere (@ Nano, eephone uns and ema rss.ct in porzon who ie esansblott the xenon (Bias Hideaki ifornaton Cees a cknoneoye De vere aon | Sidaestepurcite tenes menaeroeany"eeeneverame eee ome [Best Counew (252504) 11 Ene Examination ‘ln eunpton for Pt Ey Examination have 1) pneed a speceed sje por 1875 ("Dawa 2s apport) ce (0) Spamcea Pa Group 1 pes 2008 fo) “pansed Pat Grp? porto 2008, [EMPLOYERS OF CANDIDATES WILLEARMNG DIFFICULTIES I. pYSLEXA SHOULD MAKE LEEA AWARE Sng conti ison i oR DEICULTY I wrt (0 BE SIGNED BY EMPLOYER ONLY) "gern cans genet rao tte a in nga a cten et ee itac hemline nto Siones v pae__ 2b. 02-200 Ne heron) econo) Eh re 2eNT nae OF ewetoanens Pham anche 6 ys carn cxananon ees (Inclusive of VAD The ong fee vs te ef bmg he oy. Reid oft cance reseeesr asinine Trecmmsn oes top Entranon Fo £3500 Ling Machines Manus 000 Patt ErsanceCenncate £3200 Ung Machines Poser sea00 Ling Eauomact General £5000 Runways LantCrora Sates £58.00 METHOD OF PAYMENT + Gregus enloaea Aout ust ba payable n Pound Satng. + Payment by ere or debt cra lose compl tha form oveteat andar itotheLEEA. For ecu sent ‘este do NOT ato ea “