EF5 - Contract

The following form defines your contractual obligations as part of the I-Cube General Terms and Conditions of Certification. This contract is valid from the date indicated by you at the bottom of this form and for the duration of any certificates awarded. The General Terms and Conditions of Certification are an integral part of this contract.

Form completed by:
First name:
Family name (Surname)

I have read, understood, and accept the I-Cube General Terms and Conditions of Certification (see the link above):
I have completed or updated all 5 of my I-cube forms in full:
I have emailed the following documents to I-cube (email address) to support my application:	copies of my education awards received documented evidence to support my training experience
I declare that all the information submitted to I-cube certification is correct to the best of my knowledge and belief:
I agree to I-cube contacting any person(s) and/or organisations referenced in my application to verify the validity of my information.
I agree to my contact details being published in the I-cube certification online register.
I have transferred all fees due to I-cube.

Did the person mentioned below complete this form:
Date:
Location:
Signature
Please print this document, sign it, fax the signed copy to I-Cube at +41 22 545 76 68, then click confirm to register your data.
IMPORTANT: If you answer -No- to any of the questions above, and/or have not sent the documents requested, your certification request will not be able to proceed. If you have any questions please contact us at [email protected].