ACCA February – May 2014 Application Form STUDENT DETAILS Title
Mr
Ms
Mrs
First Name Last Name Address
Home Phone
Work Phone
Mobile
E-mail
ACCA Registration Number
Date of Birth
Do you have any disabilities or special needs?
Yes
No
If yes please provide further details: Where did you hear about City Colleges? EMPLOYMENT DETAILS* Employer Name Position in Company Address
Phone
E-mail
*If you are being sponsored by your employer please ensure you have fully completed the Employer’s Sponsorship Form and return it with the application.
Please complete both sides of this application and return it to:
City Colleges, Wicklow House, 84-88 South Great George’s Street, Dublin 2 T: 1850 25 27 40 E:
[email protected] W: www.citycolleges.ie
LOCATION:
DUBLIN 2
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DUBLIN 6W
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ONLINE
COURSE
Complete Course (Incl. Revision)
Revision Only
ACCA F1
Accountant in Business
€500
€250
ACCA F2
Management Accounting
€500
€250
ACCA F3
Financial Accounting
€500
€250
ACCA F4
Corporate & Business Law
€700
€300
ACCA F5
Performance Management
€700
€300
ACCA F6
Taxation
€700
€300
ACCA F7
Financial Reporting
€700
€300
ACCA F8
Audit & Assurance
€700
€300
ACCA F9
Financial Management
€700
€300
ACCA P1
Governance, Risk & Ethics
€875
€350
ACCA P2
Corporate Reporting
€875
€350
ACCA P3
Business Analysis
€875
€350
ACCA P4
Advanced Financial Management
€875
€350
ACCA P5
Advanced Performance Management
€875
€350
ACCA P6
Advanced Taxation
€875
€350
ACCA P7
Advanced Audit & Assurance
€875
€350 Amount
Discount if applicable Total Amount TERMS & CONDITIONS The outstanding balance of your fees is payable on or before the first lecture of your course. Alternatively, you can complete an Employer’s Agreement to Sponsor Form, which must be signed and returned on or before the commencement of the course. Under no circumstances will course fees be refunded after the course has commenced. City Colleges reserves the right to change course schedules, with reasonable notice, and to postpone or cancel a course. In the event of cancellation, the College rd will refund all fees paid. In the event that an agreed 3 party payee does not pay the course in its entirety due to the fault of the student, the student will be liable for the full amount outstanding to the College.
Student Signature
Date
PAYMENT DETAILS Payment Method
Cheque
Bank Draft
Postal Order
VISA
Mastercard
Laser
Sponsorship*
Cardholders Name Cardholders Address Card Number Expiry Authorised Signature
CVV Date