You are on page 1of 2

Oxford Brookes Degree Enrolment Form

1. Centre Details
Centre:

Online

Submission Period:

Start Date:

2. Student Information
Title: Family Name or Surname: First Name(s): Gender: Date of birth (dd/mm/yy): ACCA Registration Number: Have you 'opted in' to the ACCA/OBU scheme? Yes No Male Female County: Country: Telephone: Mobile: Email address: Have you already completed the online ethics module? Yes No Postcode: Address:

3. Payment Details
Please select the postage location for the learning materials: Amount Payable:

United Kingdom and Northern Ireland European Union, CI and BFPO Rest of the World
Book Delivery Address: (If different from above)

Course Fee Postage Cost (UK Free / EU 10 / Rest of the World 40) Total Amount Payable

485

PAYMENT METHOD: Please select a payment method which is convenient to you. I enclose a cheque/draft for _________ made payable to Kaplan Open Learning I wish to pay __________ by Credit/Debit card. Please call 0113 388 8499 to make payment (UK cards only) Please invoice my Employer. (Full payment must be received by us before the course start date) Company Name: Manager's Name: Manager's Email: I wish to pay by Bank/Electronic Transfer Telephone: Address:

Please transfer the amount payable to the following Bank Account quoting a reference: OB - [Your Full Name] Bank Name: Natwest Bank Account Name: Kaplan Open Learning (Essex) Limited Account Number: 20674848 BIC: NWBK GB 2L IBAN: GB71 NWBK 5000 0020 6748 48
Where did you hear about the Oxford Brookes online mentoring course? Kaplan Centre/Tutor Oxford Brookes University Have you studied with Kaplan before? Email from Kaplan Other Yes No Kaplan Website Internet Search Word of Mouth

Sort-Code: 50-00-00

Printed Leaflet

Registered Company Name: Kaplan Open Learning (Essex) Limited Company Registration Number: 06245017 - Registered Office: 100 Cannon Street, London EC4N 6EU

4. Declaration
By submitting this form, I confirm that I have read, understood and accept the terms and conditions below: Date:

5. Terms and Conditions


Kaplan Open Learning (Essex) Limited - Registered office: 100 Cannon Street, London EC4N 6EU. Principal place of business: WestOne, 114 Wellington Street, Leeds LS1 1BA. Registered in England No. 06245017. 1. Kaplan Open Learning (Essex) Limited is in no way responsible for checking the eligibility of individuals enrolling upon the online mentoring programme for the Oxford Brookes BSc in Applied Accounting. 2. All deposits received are for the sole purpose of reserving an intake place. 3. Full payment is required on completion of the enrolment form and before commencement of studies. 4. Should you decide to discontinue your studies; refunds will only be provided when notice of cancellation has been received in writing prior to the intake start. (The cost of books and postage will not be refunded). Commenced programmes will incur a 100 cancellation fee within the first 14 days. There will be no refunds after this 14 day period. 5. A deferral can be processed to the following submission period if Kaplan Open Learning (Essex) Limited is notified in writing. An administration charge of 125 will be charged prior to recommencement. It may be necessary to purchase new study materials upon recommencement of deferred study. These are not included in amounts previously paid and will be invoiced separately. 6. Kaplan Open Learning (Essex) Limited reserves the right to change mentors, start dates and prices from the published information, at its discretion. 7. Students' / delegates' arrangements with Kaplan Open Learning (Essex) Limited and Kaplan Publishing Limited are governed by English law. 8. Postage to a UK address is included in the course fee. We charge a one-off fee for postage and packaging of 10 for EU countries and 40 for all other countries.

Please return the completed form and a scanned copy of your photo ID to: oxfordbrookesonline@kaplan.co.uk Please send your cheques/drafts to: Kaplan Open Learning, West One, 114 Wellington Street, Leeds LS1 1BA If you require further information, please call 0113 388 8499

Registered Company Name: Kaplan Open Learning (Essex) Limited Company Registration Number: 06245017 - Registered Office: 100 Cannon Street, London EC4N 6EU