Postgraduate Diploma in Financial Planning - Continuation of Studies Application Form

Continuation of Studies Application Form

Postgraduate Diploma in Financial Planning.
Please complete all sections of the application form and ensure you SIGN and DATE the declaration or we will be unable to process your application.

* Please ensure all relevant fields are completed. Incomplete applications can not be accepted.

LIA Member Number
Full Name*

First NameLast Name
MrMrsMsMiss
Date of Birth*

DayMonthYear
Date
Employer*
Mobile*
Work Telephone
Your Email*
example@example.com

Please indicate the modules you wish to apply for.

Modules

Rows	Registration €1,100 / Module
Term 1 - Principles and Practices of Financial Planning
Term 1 - Risk Management and Insurance Planning
Term 2 - Tax and Estate Planning
Term 2 - Investment Management
Term 2 - Retirement Planning
Term 3 - Retirement Planning
Term 3 - Integrated Personal Financial Planning

MeMy Employer*Skillnet or Training provider*
*if payment is by a Skillnet or training provider, please specify the Skillnet or training provider.
*If payment is made by an employer, please download and complete the payment authorisation form which can be found below. This should be uploaded here or emailed to level9@lia.ie.

Cancelof
Download the payment authorisation form here.
Course Payment:

In order to process your application, please select one of the payment methods from the selection below.

If choosing to pay by cheque, please ensure to include the cheque payment with your application to avoid any unnecessary delays with your application.

*Please make cheques out to LIA and submit by post to LIA Course Applications team.
ChequePayment by Debit / Credit Card
*Due to the recent introduction of Strong Customer Authentication* by banks, we can no longer process credit card payments on behalf of students using only the credit card details.

A member of our course applications team will contact you to arrange payment.

*Strong Customer Authentication (SCA) is a new European regulatory requirement under the second Payment Services Directive (PSD2), aimed at reducing fraud and making online payments more secure. SCA involves two factor authentication, so having credit card details is no longer enough to process an online payment, you will now also need at least one other authentication method e.g. a code texted to your phone by your bank and/or biometric authentication, such as a fingerprint.
Payment by Company Group Scheme
*if your employer covers your course fees through LIA’s Company Group Scheme, a member of our registrations team will contact the LIA Relationship Officer (LRO) to arrange payment authorization. If you are unsure if your company is part of this scheme, please get in touch with us and we will be happy to confirm this information.
EFT
*a member of the LIA payments team will issue a pro-forma invoice so that payment by your employer can be arranged. Please complete details required below.
Company Name:*
Email:*
*Due to data protection/security, shared/generic email address (e.g. info@ etc) are not accepted.
Contact Name:*
Telephone:*
Please enter a valid phone number.Format: (000) 000-0000.
Signature:*

Clear
Date*

MonthDayYear

- As a QFA (if applicable), I have obtained appropriate and acceptable experience, which is documented on the record of experience in Section 4 above, and is subject to verification by appropriate persons with personal knowledge.
- I wish to register for the programme module(s) as indicated above. I have read and understood the terms and conditions for registration on this course (as set out on www.lia.ie) and LIA’s general Terms & Conditions (available on www.lia.ie or by post on request) and I agree to be bound by these terms and conditions.
- I consent to LIA processing, holding and disclosing my personal data as per LIA’s privacy statement (available on www.lia.ie or by post on request), which may change from time to time based on legal or regulatory requirements.
- If I am offered and accept a place on this programme, I agree to the provision of certain personal data (name and email only) to LIA faculty which will be used solely for class group communications.
- If I am not offered a place and/or refuse a place that has been offered to me I understand that the personal data contained in my application will be destroyed and will not be retained by LIA. (This does not impact personal data that LIA may already have held prior to and separately from this application).
- I declare that the information provided in this application is true and complete (in all material respects) and to the best of my knowledge and belief.
- I acknowledge that I have thoroughly read and understood the consent form for participating in LIA's online examniations, I fully agree to adhere to the terms and conditions specified in the document. The consent form is available here.
Applicant's Signature*

Clear
Please click and hold your mouse to sign.
Date*

DayMonthYear
Date
Thank you for taking the time to fill in your details.

Please check all entries, as all fields denoted with a * are required, and the form cannot be submitted with any omissions.
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