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Tax Technician Course Registration Application

 
Are you currently a student of the Irish Tax Institute?
 
 
 
 
If so please enter your current student number
 
 
 
 
Are you repeating a Course?
 
 
 
 
Personal Details
 
 
Title*
 
 
 
 
First name*
 
 
 
 
Surname*
 
 
 
 
Address 1*
 
 
 
 
Address 2*
 
 
 
 
Address 3*
 
 
 
 
Work Telephone Number*
 
 
 
 
Mobile Telephone Number*
 
 
 
 
Current email address for correspondence
 
 
 
 
Email*
 
 
 
 

(A valid e-mail address is mandatory when enrolling as a student)

 
Employment details
 
 
Are you currently employed?
 
 
 
 
Are you working in Tax
 
 
 
 
Company Name
 
 
 
 
Company Address
 
 
 
 
Will your employer be paying your course fees?
 
 
 
 

Which of the following describes your current employer (tick as apporiate)

 
Revenue
 
 
Industry
 
 
 
Small Practice
 
 
Large practice
 
 
 
Self-employed
 
 
Other (please specify)
 
 
 
Existing Qualifications:
 
 

List any professional and academic qualifications that you hold:

 
Qualification
 
 
Awarding body
 
 
Year
 
 
Qualification
 
 
Awarding body
 
 
Year
 
 
Qualification
 
 
Awarding body
 
 
Year
 
 
Student Number
 
 
 
 
Course Details: Which course are you registering for (tick as appropriate):
All 4 modules
 
 
Income Tax & Payroll Fundamentals
 
 
Capital Taxes Fundamentals
 
 
Corporation Tax Fundamentals
 
 
VAT Fundamentals
 
 
Examination Details:
 
August 2020:
 
 
 
 
Payment

I wish to pay by:

 
 
 
Credit / Debit Card
 
 
EFT
 
 
 
Direct Debit
 
 
Employer pays my fees
 
 

Your course coordinator will be in contact with you to arrange for the processing of your payment.

 
 
Data Protection
 
 

Our Data Protection Policy, which can be found at http://taxinstitute.ie/Legal/PrivacyPolicy.aspx, explains how we collect and use your personal data. It also explains your rights in connection with your personal data.

 
Fitness Declaration
 

I undertake that I shall at all times observe and comply with the rules and regulations of the Irish Tax Institute applicable to the conduct of its members (including student members), including without limitation the rules set out in the Bye-Laws and in the Code of Professional Conduct, and that I shall observe and comply with such rules both in the letter and in the spirit. I further undertake that I shall not, whether by act or by omission, engage in conduct tending to bring myself, the Irish Tax Institute or its members into disrepute.

 

I also declare that

 
 
 

(a) I have not been convicted of an indictable offence other than one prescribed by the Road Traffic Acts :

(b) I am not more than six months in arrears in paying to the Institute any sum which has become payable by me to the Institute; 

(c) I have not, under any resolution of creditors or order of any court having jurisdiction or any deed or document, had my estate placed in liquidation for the benefit of creditors, nor have I been subject to an order of bankruptcy from which I am not discharged; 

(d) I am not disqualified by the High Court from being a company director.

 
I declare all of the above*
 
 
Declaration
 
 

I have read and understand the Irish Tax Institute’s Tax Technician Course Information and Regulations 2019/2020 including the rules and regulations and agree to be bound by all decisions of the Education Committee. 

I have achieved the minimum educational requirements and will forward a copy of my results to support my application for registration as a Student Member of the Irish Tax Institute.

I hereby give notice that I wish to present myself for the Tax Technician Examinations. I have given the information required of me by the Education Committee. 

I declare that the information given is correct. I acknowledge that making this Declaration falsely may result in my expulsion as a student from all or any courses organised by the Irish Tax Institute. 

 
I declare all of the above*