certificate in professional english online

Full Name*

Full Name (For Certificate)*

National Identity Card / Driver’s License / Passport No.*

Date of Birth*

Address*

City / Town*

Country*

Contact Number (WhatsApp)*

Email Address*

Qualification (Highest Achieved)*

Company Name*

Designation*

DISCLAIMER & CONSENT

You are hereby informed that the Management of Pinnacle Alliance Global Training & Consultancy (PAGTC) will:

• require you to provide material, ideas, suggestions, concepts, images, videos and/or other content throughout the program. I agree that these will not be considered confidential.*

Yes

• be taking photos / screenshots and videos of the session while it is in progress. These are taken for the purposes of your personal improvement identification, record keeping and marketing. I am aware that these may appear on PAGTC’s social media channels, website, promotional materials, or any other media now known or to be invented. I agree that PAGTC cannot be held responsible for unauthorized use of the images and I am aware that I am not entitled to any compensation.*

Yes

• request you to voluntarily provide a testimonial video at the end of the program for the purpose of marketing. I agree that I will provide a voluntarily testimonial video.*

Yes

• be awarding you with a digital badge if you successfully qualify from the program. I confirm that I want the digital badge. I confirm that I am aware that my personal details are required to generate the digital badge. Therefore, I consent and authorize to use and publish my personal details. I confirm that I am aware that, the first year of the digital badge is awarded free-of-charge. From the second year onwards, I will pay LKR 2,000/- per year at my personal cost, to keep my digital badge active and avoid it from being expired and cancelled.*

Yes

CONFIRMATION BY PARTICIPANT:

• I hereby confirm the details provided above are mine and validate the same to be true and correct.

• I hereby confirm my payment plan and settle all dues to Pinnacle Alliance Global Training & Consultancy without any delay on the below said dates:

By signing below, I acknowledge I have read and understood this release.

NAME*

DATE*

CONFIRMATION BY PINNACLE ALLIANCE GLOBAL TRAINING & CONSULTANCY:

Pinnacle Alliance Global Training & Consultancy hereby confirms that none of the above will be used for any unlawful or unethical reasons. The provided personal information are treated with the highest level of confidentiality. We strictly do not release any information to any individual or organization without your prior written consent / permission.