ACCA Student Details Form
Please attach this form together with the appropriate registration documents and signed ACCA Declaration form.
Student name (please print in CAPITALS)
Student Date of Birth
Gender (please tick relevant box):
Female
Male
Home address (please print in CAPITALS)
Email address (please print in CAPITALS)
Telephone number
Mobile number
When is the best time for ACCA representative to contact you? (if required).
Phone:
Morning
Afternoon
Evening
Email
I confirm that I have not previously been registered as a student with ACCA.
Signature
Date
This data is for internal use only and will not be distributed to any third parties.
Official Use Only
Student applying for:
ACCA
FIA
Has Date of Birth document been provided? (ID/passport, etc.):
Yes
Have minimum entry documents been submitted? (ACCA applicable only):
Has relevant, signed declaration form been submitted?
Has photo been submitted?
Yes
Yes
No (do not create application)*
Yes
No (do not create application)**
No (do not create application)***
No****
ACCA registration number (when online application has been completed)
* Omitting date of birth confirmation will result in placing application on-hold.
** If student doesn’t have educational documents that meet ACCA minimum entry requirements, student should be advised that application should be processed as FIA.
*** Signed ACCA or FIA declaration form should be submitted with rest of required documents. If declaration form is not received, application will not be accepted.
**** Photo is required during Online application process, however if not available during registration can be submitted at later stage.