• Please complete all sections of the application form, and ensure to sign and date the declaration, or we will be unable to process your application.

    SECTION 1: Contact Details

  • Date Format: DD slash MM slash YYYY

  • SECTION 2: Terms & Conditions for Registration / Checklist

  • OR

  • SECTION 3: Exam / Refresher Course Information

  • Please note that the refresher course is included in the examination fee. Attendance at one of the refresher course lectures is strongly recommended as an essential support to those intending sitting the exam.

    Please indicate your preferred refresher course:

  • Please indicate your preferred examination location:

  • SECTION 4: Declaration

    I wish to register for the lecture and exam selected above. I have read and understood the terms and conditions for registration (as set out in Section 2) with FPSB Ireland DAC and I agree to be bound by these terms and conditions. I consent to FPSB Ireland DAC collecting, using and disclosing my personal data to third parties, including but not limited to its agents, affiliates, other educational bodies, assignees, my employer (past, present and/or future), on its website, regulatory and/or governmental bodies and to comply with its legal, regulatory and compliance obligations.

    Please sign and date below to indicate your consent (required)

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