Diploma of Financial Services (Financial Planning) and RG 146 Application Form Please complete the Application Form for the Diploma of Financial Services (Financial Planning) FNS50804 and RG 146. If you have any questions or concerns when completing this form please call (02) 9852 4066 or email prof.development@uws.edu.au. Please complete sections 5 to 16 of this application in BLACK INK using CAPITAL LETTERS. All supporting documentation must be CERTIFIED copies. 1. WHO CAN USE THIS APPLICATION FORM? An applicant can use this application form if they are an Australian citizen, permanent resident of Australia or hold a humanitarian visa. All applicants must supply certified* copies of the following documents with their application: academic transcripts from institutions other than UWS, or approved translations of overseas qualifications (DIAC, DFAT, NAATI). and if applicable: proof of proficiency in English (see section 10 in Application form), and/or evidence of name change (eg Marriage Certificate). If your name differs from that under which you gained your qualification(s) or were previously enrolled, you will need to provide certified documentary evidence of the change with this application (eg Marriage Certificate). * You must ensure that all documents that you supply with your application have been certified in accordance with UWSCollege guidelines for Certification of Documentation. Read the information on Certification of Documentation in section 3 of this application form carefully. 2. PRIVACY STATEMENT In providing my personal information to UWSCollege, I understand that, other than as authorised by law, UWSCollege will only use this information for the purposes for which it is being collected in accordance with UWSCollege s functions and activities associated with my enrolment. In some instances, UWSCollege may need to disclose information to external agencies such as UAC, DEST, DIAC, Centrelink, other Government agencies, an affiliated entity of UWSCollege, or to third parties for the purposes of recovering unpaid University fees or other debts owed to UWSCollege, and I consent to such disclosure. I also understand that all information will be collected, stored, accessed and disseminated or destroyed in accordance with privacy, records management and other relevant laws, and UWSCollege s policies. Page 1 of 7
3. CERTIFICATION OF DOCUMENTATION The person who certifies your document/s must be contactable by telephone during normal working hours. This person may be: an authorised officer at: - any Student Centre of the University of Western Sydney or UWSCollege - any other university or TAFE College - the official records department of the institution that originally issued the document/s - an Australian overseas diplomatic mission or Australian Educational Centres a justice of the Peace with a registration number an accountant must be a member of the Institute of Chartered Accountants in Australia, or the Australian Association of Taxation and Management Accountants or be a Registered Tax Agent a bank manager, but not a manager of a bank travel centre a credit union branch manager a commissioner for declarations a barrister, solicitor or patent attorney a police officer in charge of a police station, or of the rank of sergeant and above a postal manager, or a Principal of an Australian secondary college, high school or primary school. You cannot certify your own documents, even if you belong to one of the categories listed above. How should the authorised officer certify each document? The Certifying Officer must print I certify this to be a true copy of the document shown and reported to me as the original on the document, as well as their name, address, contact telephone number, profession or occupation or organisation, the date and then sign the document. The Certified Officer should also include the official stamp or seal of the certifier s organisation on the copy, if the organisation has such a stamp. In addition to the above, a Justice of the Peace must also print their registration number and provide details of the state in which they are registered. Copies certified by a Justice of the Peace without a registration number will not be accepted. To find a Justice of the Peace in your area, check the public register of JPs available online from the NSW Attorney-General s Department at www.lawlink.nsw.gov.au. 4. LODGING YOUR APPLICATION FORM Please complete this form and forward your application to: UWSCollege PO Box 224 QUAKERS HILL NSW 2763 Alternatively fax your application to (02) 9852 4042. Please note: You will be advised by mail or email of the result of this application as soon as possible. UWSCollege reserves the right to alter or cancel a program or schedule. Telephone +61 2 9852 4066 Fax +61 2 9852 4042 Email prof.development@uws.edu.au Website www.uwscollege.edu.au > Finance Programs Page 2 of 7
5. CONTACT DETAILS Title Mrs Ms Miss Mr Dr Other Family name Given name(s) Previous name If different from the name shown above you must attach clear, sharp CERTIFIED documentary evidence. Date of birth Postal address Unit number Street number Street name Suburb Post code Phone number Work Home Mobile Please tick preferred contact number Email address 6. EMPLOYER DETAILS Please list details of the organisation where you are currently employed. Name Organisation Position Phone number 7. FINANCIAL INDUSTRY EXPERIENCE Have you had any industry experience in financial services? One year or less Two to fiv e years More than fiv e years Page 3 of 7
8. CITIZENSHIP AND AUSTRALIAN RESIDENCY STATUS Are you or Aboriginal or Torres Strait Islander origin? Are you a citizen of either Australia or New Zealand? Yes Yes (if so go to section 9) Do you have permanent resident status in Australia? Yes Date you arrived in Australia Type of visa* Date permanent resident status granted *You must attach a clear, sharp CERTIFIED copy of your permanent resident visa. 9. EDUCATION Provide details of all education completed, attempted but not completed, or for which you are currently enrolled. You must attach a clear, sharp certified copy of your academic record. Secondary education School name State Level attained Year completed HSC candidate number (if known) Tertiary education Institution Degree or qualification (including level) Year commenced Year completed Page 4 of 7
10. ENGLISH PROFICIENCY If you have not completed Year 12 in Australia you may be required to satisfy the English language requirement for the course selected (ie IELTS or equivalent). For details of fees, courses and start dates please refer to www.uwscollege.edu.au. Is English your first language? Yes (if so go to section 11) (if so please specify what your first language is) Was English the language of instruction at your school or university? Yes How long did you attend this school or university? Attach documentary evidence Have you completed/or intend to sit an English proficiency test (IELTS/TOEFL)? Yes Date sat or to be taken Type of test (eg IELTS/TOEFL) Score** **You must attach a clear, sharp CERTIFIED copy of your test results. 11. STUDENT SERVICES INFORMATION Are you applying for recognition of prior learning (RPL)? Yes (if so please complete the Diploma of Financial Serv ices (Financial Planning) RPL application form) Do you have any special learning or assessment needs that need to be taken into account to support your learning? Yes (if so please specify) Page 5 of 7
12. ENROLMENT INFORMATION Please enrol me in: Course Total cost ($) OR Diploma of Financial Serv ices (Financial Planning) (Modules 1 to 5) Regulatory Guide (RG) 146 compliance in: 3,997 Financial Planning sector (Modules 1 and 2 only) 1,882 Superannuation sector (Modules 1, 2 and 4 only) 2,587 Managed Investments sector (Modules 1, 2 and 3 only) 2,587 Insurance sector (Modules 1, 2 and 5 only) 2,587 13. PAYMENT DETAILS Following receipt of this application you will be notified of the outcome. Invoices will be issued to successful applicants and/or sponsors. Please forward invoice to: Address: 14. CHECKLIST Please attach the following documents to this application. Certified copies of Academic qualifications eg UAI and HSC results, TAFE or college results, etc Relevant work experience Proof of identification/citizenship (eg copy of an Australian Passport, Birth Certificate, proof of permanent residency) 15. HOW DID YOU FIND OUT ABOUT UWSCOLLEGE? Education institution Family/friend/work collegue Brochure in mail Advertisement Other (please specify) Page 6 of 7
16. DECLARATION AND SIGNATURE I declare that I have read the instructions at the beginning of this form, and declare that all the information submitted is true and complete. I authorise UWSCollege and the University of Western Sydney to obtain available official records from any educational institution attended by me. I understand that UWSCollege is not responsible if any institution does not provide these records. I authorise UWSCollege to verify any information provided by me, including academic records and employment details. I understand that UWSCollege may reject my application or revoke any offer of admission if it finds any information provided ion relation to my application to be incomplete, inaccurate or misleading. I have read and understand the UWSCollege fees, refund and application policies. By signing this application form, I agree to all the conditions of enrolment as well as any other conditions set out in the student handbook, prospectus, website (www.uwscollege.edu.au) and any other information provided by UWSCollege. I agree to abide by the Rules and Policies of UWSCollege as they apply from time to time. I also understand that it is my responsibility to ensure that I review the By-Law, Rules and Policies of UWSCollege during my period of study, as they are subject to change. Applicant s signature X SIGN HERE Date Page 7 of 7