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 1|Page 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. 2|Page 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