LSAF - Registration Form

Registration Form
Registrations received without transcripts and/or student’s personal details cannot be processed.
All sections must be completed. Please print in BLOCK LETTERS.
PERSONAL DETAILS
Name as it appears on official documents
(Miss, Ms , Mrs, Mr)
Title Given Name Family Name

Previous Student ID If your name has changed since you were last enrolled, please print previous name.
(if previously issued another offer
or a previous LSAFstudent)
Email : Home Number Mobile number
Facebook Twitter
Date of Birth /____/_ __

Gender □ M □F Country of Birth INDONESIA
Passport Number / Identity Card Number

Expiry Date __ /__/____
PERMANENT ADDRESS (Residential address in Home Country) No P.O. Boxes

Number and Street
Suburb/Town/City State
Country Post Code/Zip Code
MAILING ADDRESS (If different from permanent address)

Number and Street
Suburb/Town/City State
Country Post Code/Zip Code

MEDICAL/DISABILITY NEEDS
The information below is used to assist LSAF in monitoring, supporting and improving services to students with medical/disability requirements.
Disclosing this information will not affect your admission to the University.
Do you have a dis ability, impairment or long-term medic al c ondition which may affect your studies? □ Y □ N
Please indicate the type(s) of disability
□ Hearing □ Vision □ Learning □ Medical □ Mobility □ Other

If you have a dis ability, would you like to receive information on what LSAF can provide to support you? □ Y □ N
COURSE SELECTION AND STREAM OF STUDY
□ Triple Crown - CAT & BSC (Hons) Oxford Brookes & ACCA Professional Level
PROGRAM
□ Double Crown - CAT & BSC (HONS) Oxford Brookes University
□ Single Crown - Diploma in Accounting and Business & Certified Accounting Technician (CAT)
□ Diploma In International Financial Reporting Standards (DipIFRS)
*please indicate stream, otherwise applications cannot be processed. Stream (if applicable)
INTAKE 2014 _ □ Jan □ April/May □ June/July □ October
EDUCATIONAL QUALIFICATIONS
Are you currently studying in overseas? □Y □N If yes, a certificate of attendance from your current institution may be required.
Highest Academic Qualification
School/College Attended
Country/State Year Enrolled Year Left
Date Results Expected (if applicable)
Are you seeking credit or advanced standing from previous studies? □Y □N
ENGLISH LANGUAGE PROFIENCY

IS English your first language? □Y □ N
If No, what is your main language spoken at home?

As all courses are taught in English, applicants will need to meet London School of Accountancy’ and Finance English language
requirement. If your education qualifications were not completed wholly or predominantly in English, please indicate what tes t(s) you have
taken, or simply indicate the test you intend taking. Note: Certified documentary evidence of result must be provided at the time of
application.
□ IELTS □TOEFL □ SAT □CIE ‘O’ LEVEL/IGCSE Grade or Score
Other (Please specify)
SPONSOR DETAILS (Please attached sponsorship letter if available)
Will your tuition fees be paid by an organization? □ Y □ N

If ‘YES’, name of organization
EMERGENCY CONTACT DETAILS (HOME COUNTRY)
Full Name Email Address
Relationship Telephone (include country code)
HOW DID YOU LEARN ABOUT LSAF?
□ Newspaper/Magazine □ School/College □ Friend/Relative □ Exhibition/Seminar □ Agent □ Others

APPLICANT’S DECLARATION AND SIGNATURE
I declare that the information I have supplied on this form and in the attached documents is true and complete. I understand that the provis ion of false or inc omplete
information may result in c anc ellation of any offer of enrolment or actual enrolment. I agree to mak e timely payments of any fees or associated c osts for which I am liable. I
agree that I am aware of the indicative costs of my educ ation at London School of Accountancy and Finance (LSAF) and that I have the necess ary financ ial capac ity to
meet such costs. My exec ution of this applic ation form constitutes my acceptance of all the terms and rules regardin g my admission and enrolment. I authorize London
School of Accountancy and Finance (LSAF) to retain my tuition fees in accordance with the refund policy if I elect to cancel my enrolment at any time.
Signature of Applicant Date / /
Signature of Parent
(if applicant under 18 years old of age) Date / /

LSAF - Registration Form

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LSAF - Registration Form

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Registration Form

Title Given Name Family Name

Email : Home Number Mobile number

Date of Birth /____/_ __

Passport Number / Identity Card Number

PERMANENT ADDRESS (Residential address in Home Country) No P.O. Boxes

Country Post Code/Zip Code

MAILING ADDRESS (If different from permanent address)

Country Post Code/Zip Code

□ Hearing □ Vision □ Learning □ Medical □ Mobility □ Other

COURSE SELECTION AND STREAM OF STUDY

Highest Academic Qualification

Country/State Year Enrolled Year Left

Date Results Expected (if applicable)

Are you seeking credit or advanced standing from previous studies? □Y □N

ENGLISH LANGUAGE PROFIENCY

If No, what is your main language spoken at home?

□ IELTS □TOEFL □ SAT □CIE ‘O’ LEVEL/IGCSE Grade or Score

Other (Please specify)

SPONSOR DETAILS (Please attached sponsorship letter if available)

Will your tuition fees be paid by an organization? □ Y □ N

EMERGENCY CONTACT DETAILS (HOME COUNTRY)

Full Name Email Address

Relationship Telephone (include country code)

HOW DID YOU LEARN ABOUT LSAF?

□ Newspaper/Magazine □ School/College □ Friend/Relative □ Exhibition/Seminar □ Agent □ Others

Signature of Applicant Date / /

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