Computer-Based Examination (CBE) 2011 Entry Form

CANDIDATE PARTICULARS
Important and compulsory fields. Particulars for CBE registration will strictly be based on information as stated below.
Name: ACCA Registration No.:
(Compulsory for all CBE registration)

NRIC/Passport No: FTMS Student ID:

Address: Contact Nos: (Home) Email Address: Current Institution Studying in:

(Office) Date of Birth:

(HP)

EXAMINATION REGISTRATION
(Please tick the appropriate boxes and state the examination date and time in the space provided)

CAT T1 Date: _______________ CAT T3 Date: _______________ ACCA F1 Date: ______________

CAT T2 Date: ____________ CAT T4 Date: ____________ ACCA F2 Date: ___________

ACCA F3 Date: ___________

Please refer to the EXAMINATION SCHEDULE on the reverse page for the date and time of Exams. Registration with payment for exams is on a first-come-first-serve basis and will be subjected to availability.

EXAMINATION PAYMENT
Payment to be made in CASH ONLY at FTMSGlobal Academy Pte Ltd, 20 Cecil Street #03-00/04-00 Equity Plaza, Singapore 049705.

CAT T1 & T2 CAT T3 & T4 ACCA Part 1

*Examination fees are subjected to changes.

: S$130 each : S$140 each : S$175 each

Terms and Conditions of Enrolment 1. Examination fees will be forfeited if candidates fail to be present on the examination date registered. 2. No refunds will be granted once registration for the Examination has been confirmed. 3. Only candidates with valid ACCA membership are eligible. 4. ACCA Student Card must be presented during registration and examination.

I declare that the information given in this form is correct and I hereby agree with FTMSGlobal Terms and Conditions of Enrolment and make payment for the Examination date stated above. SIGNATURE: _______________________
FOR OFFICE USE

DATE: _________________________

Date: _______________ Amount S$:_______________

Receipt No.: ______________

Staff: ____________

Page 1 of 2
DC.ACAD.3.2010.513 03/01/11 (Supersedes DC.ACAD.2.2010.513)

Exam Date 8-Jan-11 22-Jan-11 12-Feb-11 26-Feb-11 12-Mar-11 26-Mar-11 9-Apr-11 23-Apr-11 30-Apr-11 14-May-11 28-May-11 4-Jun-11 11-Jun-11 18-Jun-11 25-Jun-11 9-Jul-11 23-Jul-11 30-Jul-11 13-Aug-11 27-Aug-11 10-Sep-11 24-Sep-11 8-Oct-11 22-Oct-11 29-Oct-11 12-Nov-11 26-Nov-11 3-Dec-11 10-Dec-11 17-Dec-11 24-Dec-11

CAT 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm

ACCA 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm 10am-12pm

Cut-off Dates: first-come, first serve but no later than 24 hours before CBE

*IMPT* Candidates are to bring their ACCA Membership Card and their FTMSGlobal Receipt on the actual day of the Exam*

Page 2 of 2
DC.ACAD.3.2010.513 03/01/11 (Supersedes DC.ACAD.2.2010.513)