NB: This form is not applicable for workshop ILPs
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Learner name
Maximum 255 characters
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Course Code
If the learner withdrew before the end of the course, please tick the box
Personal Learning Goal 1 (not applicable for Workshops)
Personal Learning Goal 2 (not applicable for Workshops)
Personal Learning Goal 3 (not applicable for Workshops)
Non-accredited courses and workshops only
Did the learner achieve?
Has the tutor signed the declaration of achievement?