ASSOCIATION OF CHARTEREDCERTIFIED ACCOUNTANTS (ACCA)

APPLICATION FOR

Rev: 2021V1Designed by: Jason Kean Shern Kye, School of Engineering

Emergency contact: Name: Mobile:

Relationship:

Correspondence address:(address for the College to

post/mail all correspondence)

Permanent home address:

Town/City:

State:

Postcode:

Country:

Home Phone:

Email:

Mobile:

Email:

Town/City:

State:

Postcode:

Country:

(if different from above and should not be the same as your agent)

Note: Please skip this section if you are a returning student for Taylor’s ACCA programme.

Title: Gender: Date of birth:Male

Single Married Others:

Female

Family name / Surname / Last Name: ACCA ID: Taylor’s Student ID:

NRIC / Passport no.:

For Malaysians only Ethnicity:

Religion:

MalayMalaysian(Tick if you prefer to be identified as Malaysian first)

Chinese Indian Others

Marital status:

Full name:(as per NRIC/passport)

Mr Mrs Ms Miss

Section A: PERSONAL DETAILSDD / MM / YYYY

Instructions:

Please complete ALL sections in this form using BLOCK LETTERS.

This application is the property of Taylor’s. Supporting documentation will NOT be returned.

1.2.

3.

AppointedCounselor’s Name:

Representative’s Stamp /

Enclose certified true copies of all supporting documents with this completed and signed application. All documents must be certified by a recognised authority, e.g. original issuing bodies, Commisioner of Oaths, registered Taylor’s representative/agent or Taylor’s staff members.

Student ID: Scholarships / Bursary Discount Code:

(Do not put friend as anemergency contact)

Key: IRW Intensive Revision Workshop

Intake Month:

Section B: PROGRAMME PREFERENCES

Mode of Study: Accelerate Modular IRW January July

LW — Corporate & Business Law (Malaysia)

PM — Performance Management

TX — Taxation (Malaysia)

FR — Financial Reporting

AA — Audit & Assurance

FM — Financial Management

APPLIED SKILL MODULES Day Class

SBL — Strategic Business Leader

SBR — Strategic Business Reporting

AFM — Advanced Financial Management

APM — Advanced Performance Management

ATX — Advanced Taxation

AAA — Advanced Audit & Assurance

STRATEGIC PROFESSIONAL — ESSENTIAL Day Class Night / Weekend Class

STRATEGIC PROFESSIONAL — OPTIONAL (Choose any 2 modules)

Section C: SPONSORSHIP

(Please provide a copy of the sponsorship offer letter with this application)

How will your programme be financed? Self Organisation / Government Sponsored

If sponsored, name of the external organisation

If yes, please provide the relevant medical documentation with this application which will enable us to provide reasonable adjustments to support you in your studies. Disclosure of this information is treated confidentially and will not be used to disadvantage you. The Centre for Counselling Services (CCS) at Taylor’s may contact you to discuss the support, equipment and facilities available that may assist you.

Do you have a disability, impairment or long-term medical condition which may affect your studies? Yes No

Section D: SPECIAL CONDITION

Intake Year:

Rev: 2021V1

Mobile:

NRIC/Passport No.:

Relationship:

Email:

Occupation:

Address:

City: Postcode:

State: Country:

Name:(as per NRIC/passport)

Section E: PARENT / GUARDIAN INFORMATION

Section F: DECLARATION AND SIGNATURE

Applicant Parent / Guardian

(Signature of applicant) (Date) (Signature of Parent / Guardian) (Date)

Name:(as per NRIC/passport)

I consent to Taylor’s processing my personal data (including sensitive personal data as defined in the Personal Data Protection Act 2010) for purposes not limited to admission, statistical analysis, compliance to statutory requirements and to be shared from time to time with Taylor’s appointed third party agents.

I declare that all information provided by me in this form, including those information given in all other documents provided, is true and accurate. I will present my original documents to Taylor's within stipulated time to sight in ensuring my documents are genuine. I acknowledge that Taylor’s reserves the right to amend or reverse any decision regarding admission that’s made on the basis of incorrect, incomplete, fraudulent information or non-attainment of minimum entry requirements, including pre-requisite results to enrol into a programme.

I authorise Taylor’s to verify my academic records from previous institutions or my work experience from past employers, for programme entry purposes, if appplicable.

If tuition fees are paid by an organisation or my parents (”Sponsor”), I authorise Taylor’s to release my fees and academic progress information to my parents and the sponsor upon request.

I agree to abide by the statuses, regulation and policies of Taylor’s at all times.

I have read and understood all the above conditions and agree to fully accept them.

I have read and understood the Personal Data Protection Notice provided by Taylor’s at https://college.taylors.edu.my/en/pdpa.html. I hereby give consent to Taylor’s to process my personal data in accordance with the Personal Data Protection Notice.

I provide consent to Taylor’s to process my child’s personal data (including sensitive personal data as defined in the Personal Data Protection Act 2010) for purposes such as but not limited to admission, statistical analysis, compliance to statutory requirements and to be shared from time to time with Taylor’s appointed third party agents. Please refer to the PDPA section for the details of the Act.

I hereby apply for his/her admission at Taylor’s and undertake to pay the full fees of this programme until complete.

I hereby agree to pay all the fees due on the dates stipulated by Taylor’s, failing which Taylor’s reserves the right to bar my child/ward from attending classes including termination of study.

If tuition fees are paid by an organisation (”Sponsor”), I authorise Taylor’s to release the applicant’s fees and academic progress information to the sponsor upon request.

I have read and understood all the above condition and agree to fully accept them.

I have read and understood the Personal Data Protection Notice provided by Taylor’s at https://college.taylors.edu.my/en/pdpa.html. I hereby give consent to Taylor’s to process my child's personal data in accordance with the Personal Data Protection Notice.

(Applicable for Applicant age below 18)

Email : applications@taylors.edu.my Website : college.taylors.edu.my

Rev: 2021V1

Name:(as per NRIC/passport)