1 Start 2 Complete Full name * Date of birth (dd/mm/yyyy) * Address * Please enter the address you would like the certificate to be sent to. For an electronic certificate, you may enter N/A Cutomer number Email address * Please select the certificates and quantities you require. 012345678910 Duplicate Electronic Certificate - Please list Units below.* [£25] 012345678910 Certificate in Treasury (CertT) [£70] 012345678910 Diploma in Treasury Management (AMCT) [£70] 012345678910 Advanced Diploma in Treasury Management / MCT Advanced Diploma (FCT) [£70] 012345678910 Certificate in International Cash Management (CertICM) [£70] 012345678910 Other - Please state below.* [£70] * You are required to upload a clear copy of an original document to support your application. (Passport, Driving License, Deed Poll Certificate, Marriage Certificate, Birth Certificate, Divorce Notice, Adoption Certificate)Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc docx odt ppt pptx odp. Data disclosure The ACT will use the personal information you provide in this form and the copies of the documents you supply (your information) to administer your replacement certificate.The ACT will pass your information, where necessary, to contracted third parties who require it to create your certificate. This includes the transfer of your information to third parties in the UK on the basis that the transfer is necessary for fulfilling our contract with you and supplying you with the services you wish to obtain from us (namely the creation of replacement certificate).The ACT will retain your information only for as long as necessary to produce the replacement certificate and will then delete your information, not later than three months from the date of your application. dd checkbox * I have read and agree to the above data disclosure statement.