ICAEW ( ACA) - National Enrolment form 2015

ICAEW
( ACA) - National Enrolment form 2015
ICAEWACA/NEF
PHONE
Bookings can also be made through your local Kaplan Financial Centre via one of the following methods:
POST
1
YOUR DETAILS
Mr/Mrs/Ms/Miss
EMAIL
(further details overleaf)
Please complete all parts of this form in BLOCK CAPITALS
2
Surname
YOUR EMPLOYER’S DETAILS
Company name
Forename(s)
Company reg no.
Date of birth
/
/
Training manager’s name
Address for correspondence
Mr/Mrs/Ms/Miss
Postcode
Home phone
Mobile
Work phone
Training manager’s tel no.
Training manager’s email address
Please provide an email address you have access to during and outside office hours. All communications,
including those relating to your MyKaplan online resources, will be sent to this email address.
Email address
Work address
ICAEW (ACA) registration number
Postcode
Note: It is your responsibility to complete the ICAEW (ACA) registration formalities
and enter the ICAEW (ACA) examinations.
Have you previously studied with Kaplan Financial?
Yes/No
If yes, please provide your Kaplan reference:
3
If no, where did you previously study?
YOUR STUDY MATERIALS
Why did you decide to study with Kaplan Financial?
Do you require Kaplan Financial to order
the ICAEW material?
Yes/No
Additional Learning Support (Please circle your answer)
Do you require Kaplan Financial to order
the Open Book Texts?
Yes/No
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
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.
Please select the option which best describes your ethnic origin:
White British
White Irish
White other
Black British
Black African
Black Caribbean
Black other
Asian British
Asian Indian
Asian Pakistani
Asian Bangladeshi
Chinese
Asian other
Mixed African
Mixed Caribbean
Mixed Asian
Mixed other
Other origin
Unknown
Undisclosed
5a
4
YOUR SIGNATURE
I confirm that I have read, understood and accept the terms & conditions
and privacy policy detailed on www.kaplanfinancial.co.uk
and www.kaplanpublishing.co.uk
Student signature
Date
MANUAL PAYMENT OPTION 1 – YOUR EMPLOYER IS SPONSORING YOU
If you wish to submit a manual enrolment form and the employer is responsible for the payment of fees, please complete the following:
As employer of the student for whom this form is completed, we are responsible for payment of amounts due to Kaplan Financial on receipt of invoices, unless credit facilities with Kaplan Financial have been granted in respect
of the student and undertake to inform you in writing promptly of any change to this arrangement. We understand that we are fully responsible for the payment of amounts due to Kaplan Financial in all circumstances
(including termination of employment or course cancellation). We confirm that we have read, understood and accept the terms and conditions and Policies (as defined below) detailed on www.kaplanfinancial.co.uk
Employers Signature
Name
Purchase order number (if applicable)
Kaplan customer number (if known)
Invoice Address (if different to the employer address shown)
Contact Name
Address
Postcode
C
_
ICAEW
( ACA) - National Enrolment form 2015
ICAEWACA/NEF
5b
MANUAL PAYMENT OPTION 2 – CHEQUE
Please tick which of the options apply
I’ll be claiming my fees in PART through company expenses
I’ll be claiming my fees in FULL through company expenses
I enclose a cheque for £
I’m NOT claiming my fees through company expenses
made payable to Kaplan Financial Limited.
For any enquiries regarding your booking, please telephone 01908 540 050.
Please scan and email your completed Enrolment Form
to the Kaplan Financial centre you wish to attend:
Certificate Level Papers: Please tick
Knowledge Papers
Classroom Course
E-Learning
E-Assessment Date
Exempt from subject
Accounting
Assurance
Law
Principles of Tax
Management Information
Business & Finance
Integrated Case Study
Course start date:
Professional Level Papers: Please tick
Professional Level Papers
Enrol on a course
Financial Accounting and Reporting
Exam sitting
March
Audit & Assurance
June
Tax Compliance
September
Business Strategy
December
Financial Management
Business Planning Tax
6
Birmingham
Bristol
Caer Rhun
Cambridge
Cardiff
Crawley
Hull
Leeds
Liverpool
London Angel
Manchester
Milton Keynes
Newcastle
Norwich
Nottingham
Reading
Southampton
birmingham@kaplan.co.uk
bristol@kaplan.co.uk
caerrhunhall@kaplan.co.uk
cambridge@kaplan.co.uk
cardiff@kaplan.co.uk
crawley@kaplan.co.uk
hull@kaplan.co.uk
leeds@kaplan.co.uk
liverpool@kaplan.co.uk
icaew_courses@kaplan.co.uk
manchester@kaplan.co.uk
miltonkeynes@kaplan.co.uk
newcastle@kaplan.co.uk
norwich@kaplan.co.uk
nottingham@kaplan.co.uk
reading@kaplan.co.uk
southampton@kaplan.co.uk
CAER RHUN STUDENTS
To be completed by students enrolling on a course a Caer Rhun. (Please note that
Caer Rhun may not be able to accommodate all students on site for the whole of
the course – if this is the case your accommodation will be arranged for you by our
accommodation office in local hotels and guest houses – all meals and lectures
will still take place at Caer Rhun).
Integrated Case Study
Course start date:
Will you be a residential student?
Advanced Stage: Please tick
Application Stage Papers
Enrol on a course
Exam sitting
July
Strategic Business Management
November
Corporate Reporting
Yes
Will you be staying at Caer Rhun for the ICAEW exams
and will you require accommodation?
Yes
Advanced Case Study
No
No
Course start date:
DATA PROTECTION ACT – Your sponsor will be informed of your results, progress and attendance unless your
sponsor chooses not to receive this information
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
EXAM RESULTS – Within the terms of this agreement you agree to Kaplan Financial obtaining your exam
results from ICAEW (ACA). If you do not wish the ICAEW (ACA) to share your results with Kaplan tick here
www.kaplanfinancial.co.uk
www.kaplanpublishing.co.uk
icaew_courses@kaplan.co.uk
Total course fees
£
Centre of study
Additionally you will receive online access to MyKaplan Resources, Tests and Performance Monitoring
(where applicable), via www.mykaplan.co.uk
Registered office: Ground Floor, Palace House, 3 Cathedral Street, London, SE1 9DE. Registered in England no. 1028790
Please complete this form and return it to the below
email address:
icaew_courses@kaplan.co.uk