Enrol Online

(Please note that if you are a student based in Singapore who wishes to enrol onto a FICS Accredited Diploma you will need to complete this form instead)

Personal Details

Title:*

Surname/Family Name:*

First Name(s):*

Middle Name:

Email:*

Date Of Birth:*(dd/mm/yyyy)

Address:*

Postcode/Zip:*

State:

Country:*

Telephone No. Daytime:

Telephone No. Evening/Mobile:

Correspondance Address(if different from above):

Special dietary requirements:

Employer Details:

Do you want your employer to be informed that you are taking this course? YesNo
Employer Name:

Employer Address:

Area:

Town:

PostCode/Zip:

State:

Country:

Employer Contact Name:

Employer Telphone No:

Employer Fax No:

Employer e-mail:

Employer Web Address:

Accounts Contact Name:

Accounts e-mail:

Accounts Telephone:

Course Details

I wish to enrol on the following course:(Please choose course, country & dates.)

Chosen Course:*

If you have chosen a Diploma course please choose one of the following options:

Location:*

Exam date:(dd/mm/yyyy)

Educational Details & Professional Membership

Please provide details of relevant experience, education and professional membership of associations or professional bodies. Those taking the 'Examination Only' option must provide full details. Copies of certificate(s) may be requested by the ICA.*

Career Details:

Please start with current/ most recent employment:

Job Title:*

Name of Employer:*

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