Centre Request for Replacement Certificate

I confirm...*

I am a Gateway Qualifications' recognised centre and the certificate was issued within the last 10 years

Please confirm whether this request is for:*

Access to HE
ESOL
Functional Skills
Any other Courses / Qualifications

Centre Name*

This request should be completed by the Centre and then submitted to Gateway Qualifications.

Name*

First Last

Your Job Title*

Your Email*

We will email you confirmation of this request.

Your Phone Number*

The identity of the Learner MUST be verified by the Centre before a replacement certificate request is submitted. Official documentation must be provided to confirm that the person requesting any change or replacement of certificate is the same person as the person named on the certificate. By ticking the box below, you agree the identity of the learner has been verified by the Centre before the replacement certificate request is submitted to Gateway Qualifications*

Please tick to confirm

Learner Details*

Certificates will only be reissued in the name that they were originally awarded. The name on a certificate cannot be changed, apart from when misspelt, under witness protection, or due to change of gender. Click the + sign to add more rows.

Full Name (as shown on the certificate)	Correct Full Name (if different)	Year of Study	Cohort ID

Hidden

Course Details

If the learner has requested replacement certificates for more than one course, please provide all course titles and cohort ID numbers below (the £25.00 charge will apply per learner per cohort). Click the + sign to add more rows.

Course / Qualification Title	Cohort ID	Year of Study

Hidden

Course Details

If the learner has requested replacement certificates for more than one course, please provide all course titles and cohort ID numbers below (the £25.00 charge will apply per learner per cohort). Click the + sign to add more rows.

Course / Qualification Title	Cohort ID	Year of Study

Course Details

If the learner has requested replacement certificates for more than one course, please provide all course titles and cohort ID numbers below (the £25.00 charge will apply per learner per cohort). Click the + sign to add more rows.

Course / Qualification Title	Cohort ID	Year of Study

Hidden

Access to HE - Course Details

If the learner has requested replacement certificates for more than one course, please provide all course titles and cohort ID numbers below (the £25.00 charge will apply per learner per cohort). Click the + sign to add more rows.

Access to HE Diploma Title	Cohort ID	Year of Study

Certificates Required*

Please indicate the certificate(s) required by ticking the appropriate box(es):

Full Qualification Certificate
Course Unit Transcript Certificate

Certificates Required*

Please indicate the certificate(s) required by ticking the appropriate box(es):

Full Qualification Certificate
Course Unit Transcript Certificate

Certificates Required*

Please indicate the certificate(s) required by ticking the appropriate box(es):

Full Qualification Certificate
Course Unit Transcript Certificate

Access to HE Certificates Required*

Please indicate the certificate(s) required by ticking the appropriate box(es):

Full Access to HE Diploma Certificate
Access to HE Unit Transcript
Access to HE GCSE Equivalence - English / Maths / Science

Reason for Replacement*

Please tick and supply additional information as required

Certificate lost or damaged after receipt by centre
Incorrect information supplied to Gateway Qualifications
Error generated by Gateway Qualifications
Other (please state)

Reason for Replacement*

Please tick and supply additional information as required

Certificate lost or damaged after receipt by centre
Incorrect information supplied to Gateway Qualifications
Error generated by Gateway Qualifications
Other (please state)

Reason for Replacement*

Please tick and supply additional information as required

Certificate lost or damaged after receipt by centre
Incorrect information supplied to Gateway Qualifications
Error generated by Gateway Qualifications
Other (please state)

Reason for Replacement*

Please tick and supply additional information as required

Certificate lost or damaged after receipt by centre
Certificate has incorrect details - Spelling
Certificate has incorrect details - Unit Information (Gateway Qualifications will request additional evidence)
Certificate has incorrect details - Grading Information (Gateway Qualifications will request additional evidence)
Error generated by Gateway Qualifications
Other (please state)

This request constitutes authorisation for Gateway Qualifications to invoice the Centre for any fees due (currently £25.00 per learner / per cohort). Where the certificate was issued with an error generated by Gateway Qualifications, the Centre will not be charged.*

Please tick to confirm

Additional Information*

Please provide a brief additional comment outlining circumstances for replacement and correct information. Include Purchase Order number (if required). Please clarify the specific reason why any alteration is requested to the name on the certificate.

I confirm...*

Any original certificates have been securely destroyed upon request for replacement. (Unless stated as lost.)

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Centre Request for Replacement Certificate

How do I request a replacement certificate on behalf of a learner?

Centre Request for Replacement Certificate