ACCA - Full-Time Application Form - Birmingham +44 (0)121 200 8440 Kaplan Financial, Baskerville House, Broad Street, Birmingham, B1 2ND, UK Please complete all parts of this form in BLOCK CAPITALS 1. Your details 3. Additional Learning Support (Please circle your answer) Male c Do you consider yourself to have a learning difficulty, disability or health problem? Yes/No If yes, do you require any additional support? Yes/No Female c Mr/Mrs/Ms/Miss Surname Forename(s) Please provide sufficient details to enable us to give you the required level of support during your course. All information will be treated as strictly private and confidential. Address Please select the option which best describes your ethnic origin: c White British c White other c Black African c Chines c Mixed African c Black other c Black British c Mixed Asian c Other origin c Black Caribbean c Asian British c Asian Pakistan Place of Birth c Mixed other c Unknown c Mixed Caribbean c Asian Indian c White Irish c Undisclosed Country of Birth c Asian Bangladeshi c Asian other Postcode Country Nationality Home no. 4. Student application checklist Mobile no. Please provide an email address you have access to during and outside office hours. This will be used for your MyKaplan online resources: Primary email address Date of birth / / Passport no. In order to assist us in processing your application without any delays, please ensure that you have submitted copies of all the following documents with your completed and signed application form. Please note that originals of all these documents must be shown on your registration. If applying from overseas, you may also be required to present these documents to immigration officials on arrival in the UK. If your certificates are not in English then a certified translation must be provided in addition to the originals. Kaplan Financial student number Copy of passport I.D. page c ACCA registration number* Copies of all the visas issued for any country c *It is your responsibility to register with the ACCA and enter the ACCA examinations. Proof of registration with the ACCA will be required when you register with Kaplan Financial. (if applicable) Copy of any visa refusal letter (if applicable) c All education certificates & transcripts dating back to when you were 16 years, including course confirmation and CAS letters for your previous courses in the UK (If applicable) c c Agent (Please specify below) Evidence of your English proficiency c Agent name: (in line with the UKVI requirement, e.g. IELTS certificate) Agent email: ACCA Exam Status Report or ACCA Registration and Exemptions Proof (If applicable) 2. Next of Kin (Please provide details of somebody in the UK) Important Information for International Students Confirmation of Maintenance – As part of the application process we will ask to see confirmation of the proof of maintenance to be used in your Tier 4 visa application. This must be supplied to us before any CAS is issued. How did you hear about Kaplan Financial? c Existing Student c Advertising c Website c Mailshot c Employer c Institute c Recommendation c Event c Other Name Relationship to you Address Contact number c ACCA - Full-Time Application Form - Birmingham +44 (0)121 200 8440 Kaplan Financial, Baskerville House, Broad Street, Birmingham, B1 2ND, UK Packages Exam date June 2016 Package Price Saving 5 papers* £3,250 c £625 6 papers £3,300 c £690 9 papers £4,800 c £1,185 11 papers* £6,300 c £1,565 12 papers £6,350 c £1,960 14 papers £7,000 c £2,860 Please select the papers you wish to study within your paper package: F1 c F2 c F3 c F4 c F5 c F6 c F7 c P1 c P2 c P3 c P4 c P5 c P6 c P7 c F8 c F9 c *The package for 5 papers is only available to students who are exempt or have completed F1-F9 and the 11 paper package is only available to those students who are exempt or have completed F1-F3. Individual papers Exam date Fundamentals - Knowledge June 2016 Price F1 Accountant in Business £665 F2 Management Accounting £665 F3 Financial Accounting £665 Fundamentals - Skills Price F4 Corporate and Business Law (Eng) £665 F5 Performance Management £665 F6 Taxation (UK) £665 F7 Financial Reporting (Int) £665 F8 Audit and Assurance (Int) £665 F9 Financial Management £665 Professional - Essentials Price P1 Governance, Risk & Ethics £775 P2 Corporate Reporting (Int) £775 P3 Business Analysis £775 Professional - Options (2 from 4) Price P4 Advanced Financial Management £775 P5 Advanced Performance Management £775 P6 Advanced Taxation (UK) £775 P7 Advanced Audit and Assurance (Int) £775 Other fees Exam date Oxford Brookes (Online mentoring) June 2016 £550 All materials are provided by Kaplan Publishing and are included in our prices. Kaplan Financial limited acts as agent in collecting such amounts. Tuition materials include: Complete Text, Study Notes and 2 assessments at a cost of (F1 - F3) £162 and (F4 - P7) £163.20 (incl. VAT). Revision materials include: Exam kit, Pocket Notes and Mock examination at a cost of £62.40 (incl. VAT). Additionally you will receive online access to MyKaplan Resources, Tests and Performance monitoring (where applicable) via www.mykaplan.co.uk. Standard terms and conditions apply, please see www.kaplanfinancial.co.uk/termsandconditions The 6 packages including 5, 6, 9, 11, 12 and 14 papers are available to any student enrolling onto a full-time ACCA course. For avoidance of confusion, the Lifetime Support Guarantee, mix and match and paper resits are not included for full-time ACCA courses. Students can redeem paper(s) purchased through a package against any paper resits. Students will then need to purchase additional papers in order to progress with their qualification once all the paper credits purchased in the package have been used up. This offer applies only to full-time classroom courses in London, Manchester, Birmingham and Glasgow. This offer cannot be used in conjunction with any other Kaplan Financial Limited offers. Kaplan Financial Limited reserves the right to withdraw this offer at any time. Our standard terms and conditions apply. These can be found at: http://financial.kaplan.co.uk/termsandconditions/pages/default.aspx ACCA - Full-Time Application Form - Birmingham +44 (0)121 200 8440 Kaplan Financial, Baskerville House, Broad Street, Birmingham, B1 2ND, UK 5. Declaration No application can be considered if this declaration is not signed by the applicant. I declare that the statements made by me are correct to the best of my knowledge and belief. I confirm that I have read, understood and agreed to be bound by Kaplan Financial’s Terms and Conditions and Privacy Policy. The T&C’s for all courses can be found at www.kaplanfinancial.co.uk/termsandconditions. I understand that Kaplan Financial may need to process and store my information in countries outside the UK (and not subject to UK Data Protection laws), such as the United States or other countries where they have offices or service providers. I consent to transfer of my information to these countries. I confirm that I have completed all relevant sections of this form. Name: Signed: Date: If you reside in the EU at the time of signing this application form, you have seven working days from the date of signing it to cancel your application by notifying Kaplan Financial in writing at the e-mail address or address stated below (marked for the attention of Head of Admissions). After such time any sums paid will only be refundable in accordance with the Kaplan Financial’s Terms and Conditions. Kaplan Financial reserves the right to notify UK Visas and Immigration (UKVI) where you request a refund under this paragraph. Please return the completed form to the admissions team via post or e-mail using the contact details at the top of the page. DATA PROTECTION ACT – Your sponsor will be informed of your results, progress and attendance unless your sponsor chooses not to receive this information. EXAM RESULTS – Within the terms of this agreement you agree to Kaplan Financial obtaining your exam results from ACCA. MARKETING POLICY – From time to time we would like to contact you with course information, news and offers which we think you might find useful. If you would prefer not to receive these please tick here c TERMS & CONDITIONS/PRIVACY POLICY – You acknowledge by ordering that you have read, understood and accept the terms and conditions and privacy policy detailed on www.kaplanfinancial.co.uk and www.kaplanpublishing.co.uk For Office Use Only: ACCA / FTEF Date / Initial Cash CC CHQ Registered office: 179-191 Borough High Street, London SE1 1HR. Registered in England no. 1028790 Receipt No.