ACCA and CIMA Exams Booking Form

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Johannesburg Polytechnic-Imagine the Possibilities!
Education: "...that which reveals to the wise, and conceals from the stupid,
The vast limits of their knowledge." Mark Twain
Braamfontein Campus:
P.O. Box 31938 Braamfontein, 2017 South Africa
No. 10 Sherwell Street Cnr Moseley Street
Doornfontein 2001
Tel: +27 11 402 0046 Fax: 086 653 8029 Emergency: +27 83 204 4773
Email: info@polytechnic.co.za
Web: http://www.polytechnic.co.za
CBE /CBA BOOKING FORM
>>>>>>>>>>>>PRINT ONLY THE FIRST 3 PAGES WHEN BOOKING FOR ACCA CBE OR CIMA CBA <<<<<<<<<<<<<<<<
PLEASE PRINT AND FILL THE SPACES PROVIDED IN BLOCK LETTERS. RETURN OR FAX BACK USING THE
086 653 8029 WHEN IN SOUTH AFRICA OR +27 11 403 2625 WHILE OUTSIDE SOUTH AFRICA OR SCAN AND EMAIL
THE JPEG/TIFF/PDF IMAGE TO: info@johannesburgpolytechnic.com or info@polytechnic.co.za
PART A: PERSONAL INFORMATION: (USE CAPITAL LETTER X TO SELECT AGAINST THE SELECTION)
TITLE:
MR:
MISS:
MRS:
SURNAME:
OTHER NAMES:
DATE OF BIRTH:
GENDER:
MS:
/
MALE:
/
(Date/Month/Year) NATIONALITY:
FEMALE:
NATIONAL ID NUMBER/ PASSPORT NUMBER/PERMIT NUMBER:
HAVE YOU EVER BEEN ADMITTED TO JOHANNESBURG POLYTECHNIC?
YES:
NO:
IF YES ENTER STUDENT NUMBER:
HOME PHYSICAL ADDRESS:
POSTAL CODE:
POSTAL ADDRESS IF DIFFERENT FROM HOME ADDRESS:
POSTAL CODE:
TEL (HOME):
WORK:
CELL:
E-MAIL ADDRESS:
PART B: EXAMINATION: PLEASE INDICATE WHETHER YOU ARE UNDERTAKING CIMA CBA OR ACCA CBE
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ACCA CBE:
ACCA STUDENT ID NUMBER:
HAVE YOU EVER DONE ACCA CBE (COMPUTER BASED EXAMINATION) WITH
US BEFORE: (This will assist in us getting your records from ACCA)
YES:
NO:
(PROCEED TO PARD E: ACCA CBE BOOKING)
PART C: CIMA BOOKING: PLEASE ENTER THE DATE AND TIME SESSION
CIMA CBA:
CIMA CONTACT ID NO:
HAVE YOU EVER DONE CIMA CBA (COMPUTER BASED ASSESSMENT)
BEFORE: (not necessarily with us, this will assist in us getting your records
from Pearson Vue records)
YES:
NO:
(PROCEED TO PARD D: CIMA CBA BOOKING)
PART D: CIMA CBA BOOKING
MODULE
C01
Fundamentals of Management
Accounting
C02
Fundamentals of Financial
Accounting
C03
Fundamentals of Business
Mathematics
C04
Fundamentals of Business
Economics
C05
Fund of Ethics, Corp Gov &
Business Law
TOTAL
CENTRE FEE
GRAND TOTAL
*TIME SESSIONS
NON-JOHANNESBURG
POLYTECHNIC
STUDENT BOOKING
R1800.00
DATE
TIME SESSION*
R1800.00
R1800.00
R1800.00
R1800.00
R300.00
*TIME: MONDAY TO FRIDAY
*TIME: SATURDAY
SESSION A:
08.00AM-10.00AM
SESSION A:
08.00AM-10.00AM
SESSION B:
10.30AM-12.30PM
SESSION B:
10.30AM-12.30PM
SESSION C:
01.00PM-03.00PM
SESSION C:
01.00PM-03.00PM
SESSION D:
03.30PM-05.30PM
SESSION D:
03.30PM-05.30PM
SESSION E:
06.00PM-08.00PM
NB: WE ARE CLOSED ON SUNDAYS AND ALL PUBLIC HOLIDAYS. WE ARE ALSO CLOSED FROM 15TH DEC 2013-12TH JAN 2014

We will endeavour to give you the same date/time you would like to have the examination but we reserve to change it
should there be interruption or technical problem. Please make a reservation at least 2 days before undertaking
examination.

NB*: Unfortunately we don’t offer examinations services on Sundays and public holidays. Our operating hours are
Monday to Friday (8.00am-6.00pm) Saturday (9.00am-4.00pm) while making the booking consider the closing times.

Please note that once you book the examinations you cannot get a refund since we will have downloaded your token for
the examinations. Changing your booking will attract a penalty of R450.00 per examination booked.

The CIMA (Pearson Vue) reserves the right to cancel a CBA for any reason whatsoever. All queries should be directed to
the Pearson Vue in event your examination being cancelled.

We reserve to change the amount chargeable in case of volatility in currency (Sterling Pound /US Dollar against the South
African Rand)

If you fail to attend a booked and confirmed examination, you will forfeit any fees paid.
REQUIRED WHEN COMING FOR EXAMINATION: CIMA COMPUTER BASED ASSESSMENT
1.0
2.0
Primary Identification e.g. Passport, SA ID Book, Refugee Identity Card, Asylum Seekers Permit, Drivers License, Birth
Certificate (Accompanied by Work ID showing your Photo)- This Identification MUST have your PHOTO and must bear
your SIGNATURE. If it is a Passport or Drivers License it Must not be EXPIRED
A Secondary Identification e.g. e.g. Passport, SA ID Book, Refugee Identity Card, Asylum Seekers Permit, Drivers
License, Birth Certificate (Accompanied by Work ID showing your Photo). Please note that Pearson Vue examination
requires 2 forms of Identification, one MUST have a photo and Signature but the other will not necessarily have your
photo, but MUST have a signature, e.g. a CREDIT CARD with your name, A DEBIT CARD with your name, A Library Card
showing your photo and signed, CIMA Student Card, etc. Under no circumstances will we continue with your examination
without 2 forms of identification. The secondary ID MUST BE SIGNED.
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PART E: ACCA CBE BOOKING
PLEASE INDICATE THE PAPERS YOU WISH TO WRITE THE CBE EXAMS BY ENTERING THE DATE AND
PROPOSED TIME FOR THE EXAMINATION
PAPER DESCRIPTION
AMOUNT
(RAND)
DATE
TIME SESSION*
Introductory Certificate in Financial and Management Accounting
FA1
Recording Financial Transactions
R1800.00
MA1
Management Information
R1800.00
Intermediate Certificate in Financial and Management Accounting
FA2
Maintaining Financial Records
R1800.00
MA2
Managing Costs and Finance
R1800.00
Diploma in Accounting and Business FIA
FAB
Accountant in Business
R1960.00
FMA
Management Accounting
R1960.00
FFA
Financial Accounting
R1960.00
Diploma in Accounting and Business ACCA
F1
Accountant in Business
R1960.00
F2
Management Accounting
R1960.00
F3
Financial Accounting
R1960.00
F4
Corporate and Business Law
GL and UK only R2640.00
Total For Papers Selected
CENTRE FEE
R300.00
GRAND TOTAL
*TIME SESSIONS
*TIME: MONDAY TO FRIDAY
*TIME: SATURDAY
SESSION A:
08.00AM-10.00AM
SESSION A:
08.00AM-10.00AM
SESSION B:
10.30AM-12.30PM
SESSION B:
10.30AM-12.30PM
SESSION C:
01.00PM-03.00PM
SESSION C:
01.00PM-03.00PM
SESSION D:
03.30PM-05.30PM
SESSION D:
03.30PM-05.30PM
SESSION E:
06.00PM-08.00PM
NB: WE ARE CLOSED ON SUNDAYS AND ALL PUBLIC HOLIDAYS. WE ARE ALSO CLOSED FROM 15TH DEC -12TH JAN
REQUIRED WHEN COMING FOR EXAMINATION: ACCA COMPUTER BASED EXAMINATION
1.0
An acceptable government issued Identification e.g. Passport, SA ID Book, Refugee Identity Card, Asylum Seekers
Permit, Drivers License, Birth Certificate (Accompanied by Work ID showing your Photo)
2.0
Ball Pens or Pencils
3.0
You may carry a bottle of water which should not have a label
4.0
Your own Calculator

We will endeavour to give you the same date/time you would like to have the examination but we reserve to change it
should there be interruption or technical problem. Please make a reservation at least 5 days before undertaking
examination.

NB*: Unfortunately we don’t offer examinations services on Sundays and public holidays. Our operating hours are
Monday to Friday (8.00am-6.00pm) Saturday (9.00am-4.00pm) while making the booking consider the closing times.

Please note that once you book the examinations you cannot get a refund since we will have downloaded your token for
the examinations. Changing your booking will attract a penalty of R450.00 per examination booked.

The ACCA and CIMA (Pearson Vue) reserves the right to cancel a CBE/CBA for any reason whatsoever. All queries
should be directed to the ACCA or Pearson Vue in event your examination being cancelled.

We reserve to change the amount chargeable in case of volatility in currency (Sterling Pound /US Dollar against the South
African Rand)

If you fail to attend a booked and confirmed examination, you will forfeit any fees paid.
BANKING DETAILS
ACCOUNT NAME:
JOHANNESBURG POLYTECHNIC PTY LIMITED
BANK:
FIRST NATIONAL BANK -SOUTH AFRICA
BRANCH NAME:
BRAAMFONTEIN
ACCOUNT:
62389074677
ACCOUNT TYPE:
CHEQUE-CURRENT ACCOUNT
BRANCH CODE:
251905
*SWIFT CODE:
FIRNZAJJ
* Important for International Students who may need to do Swift Transfer
FNB BANK ADDRESS:
92 - 94 Jorissen Street, Braamfontein, 2001
REF:
QUOTATION NUMBER OR ACCA ID OR YOUR NAME AND
SURNAME
PLEASE FAX YOUR DEPOSIT /EFT COPY TO US ON 086 653 8029 OR SCAN TO EMAIL TO info@polytechnic.co.za
FOR MORE INFORMATION PLEASE CONTACT JOSEPH ON 011 403 2625 OR 083 204 4773
Candidates Signature: _________________________________________ Date: _____/_____/______
>>>>>>>>>>>>PRINT ONLY THE FIRST 3 PAGES WHEN BOOKING FOR ACCA CBE OR CIMA CBA <<<<<<<<<<<<<<<<
3|Page
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