QUALIFICATIONS APPLICATION FORM

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1 QUALIFICATIONS APPLICATION FORM Please return application form to: All candidates please complete the information below PMI Membership Number (if previously a member): Date of Birth: Title: First Name: Surname: Job Title: Home Address: (including postcode) Employer Name: Work Address: (including postcode) Daytime Phone Number: Mobile Phone Number: address: Please complete the information below ONLY if you are applying for student membership for the first time: Communication preferences Address you would like to be used for correspondence (PMI News etc.) Home Work Do you wish to receive communication from the PMI Regional Groups: Yes No If yes, please select the Regional Group(s) you wish to be contacted by: Eastern London Midlands North East North West Scotland Southern South West Important Information Membership of the PMI is on an individual basis and is non-transferable The membership year runs from 1 September to 31 August (with the exception of Affiliate Membership which runs from 1 November to 31 October and Trustee Group Membership which runs from 1 January to 31 December) The current membership subscription fees due can be found on our website Data Protection The PMI is registered under the Data Protection Act and maintains a membership database to: enable information to be exchanged as required between you, the PMI, its subsidiaries, qualification centres and individuals involved in assessment and regional groups, relevant regulators, and employers; administer any examinations or qualifications you enter and courses you undertake or events you attend; administer billing and accounts; distribute publications and information about other PMI services; distribute mailings from 3rd parties which it believes may be of interest; confirm your membership status and PMI qualifications. If you do not wish to receive mailings about future PMI events and services please tick here or from 3rd parties please tick here. You can change these preferences later. Declaration I hereby apply for membership of the Pensions Management Institute and declare that all the information given in this form is correct and that I consent to it being held in accordance with the Data Protection and Privacy Statement. I hereby undertake, if admitted to the Pensions Management Institute duly to observe the Articles of Association, Code of Professional Conduct, Rules and Regulations for the time being in force for the duration of my membership. The Code of Professional Conduct and other relevant documents are published on the PMI website. Signed: Date:

2 PMI ENTRY FORM FOR OCTOBER 2018 The form and payment must be received by the PMI by Friday 27 July PMI Membership Number (if a member): Qualifications you are studying for: Please tick Advanced Diploma Diploma in Regulated Retirement Advice Diploma in Employee Benefits and Retirement Savings Diploma in Retirement Provision Title: First Name: Surname: address: Daytime Phone Number: Please tick the Core/Specialist Unit Packages and revision courses you wish to purchase Core Units Examination Date Examination Time Core/Specialist Unit Package* Examination Re-Sit Fee Core Unit 1A - Understanding Retirement Provision Monday 8 October 9.30am 11.30am Core Unit 1B - Foundation in International Employee Benefits Tuesday 9 October 2.00pm 4.00pm Core Unit 2 - Regulation of Retirement Provision Monday 8 October 2.00pm 4.00pm Core Unit 3 - Running a Workplace Pension Scheme Tuesday 9 October 9.30am 11.30am Revision Course** 430 (2 Days) Core Unit 4 - Financing and Investing for Retirement Provision Tuesday 9 October 2.00pm 4.00pm Specialist Units Defined Benefit Arrangements Tuesday 9 October 9.30am 12.30pm Defined Contribution Arrangements Monday 8 October 9.30am 12.30pm Taxation, Retail Investment and Pensions Tuesday 9 October 2.00pm 5.00pm Retail Advice and Regulation Monday 8 October 2.00pm 5.00pm Professionalism and Governance Monday 8 October 2.00pm 5.00pm (1/2 Day I can confirm I have read the 2018 Examination Regulations: Signed: Date: GRAND TOTAL Please tick the examination venue you wish to sit the examinations at: Belfast Birmingham Brighton Bristol Douglas Edinburgh Glasgow Guernsey Horsham Jersey Leeds London Manchester Norwich Reading Sheffield Southampton If you are an overseas candidate, please state your location (please note there is a supplementary 150 fee): If you are sitting at an Approved PMI Centre, please state your company name and centre code: If you are not already a member (excluding affiliate) of the PMI, please make sure you have completed all of the details on the first page of the form to set up your student membership, along with the appropriate subscription fee. Please note applications will not be processed until payment has been received. On receipt of payment, applications will be processed within a maximum of 10 working days. Please complete a Payment Form to accompany your application. * Package price includes examination entry and study material ** Revision Course dates will be published on our website. FOR OFFICE USE ONLY Date App Received Date Entered Payer Invoice No Payment Received Study Material Sent Examination Entered Payment Processed

3 PAYMENT FORM Name PMI Member Number Payment Details Payment in respect of: Amount TOTAL 1. Payment has been made by: I enclose a cheque made payable to PMI 2. I would like to pay by credit / debit card, details are: Type of card (please tick) Mastercard Visa Debit Card Switch Maestro Amex Card Number Start Date / End Date / 3 Digit Security Code (4 digit for Amex only) Name on Card Signature 3. I would like to pay by BACS, details are: Account Name PMI bank account details: HSBC Bank plc, 100 Old Broad Street, London EC2N 1BG Sort code: Account number: (Expected) Date payment made Please ensure your surname, PMI member number or invoice number is given as a reference on the BACS payment.

4 Advanced Diploma in Retirement Provision (Including the Diploma in Employee Benefits and Retirement Savings, Diploma in Regulated Retirement Advice Savings and Diploma in International Employee Benefits) OCTOBER 2018 EXAMINATION REGULATIONS REGULATIONS: It is a condition of acceptance of an examination entry that the candidate has carefully read these regulations (ticking the appropriate box on the entry form as confirmation) and agrees to abide by them. 1. EXAMINATION ENTRY: Candidates are responsible for ensuring that they complete the appropriate Examination Entry Form and return it by the published closing date for entries. The form is available on the PMI website and can be posted or ed details are on the form. The address given on the Examination Entry Form must be your normal correspondence address. This address will be used for all examination correspondence. A candidate who has changed address must indicate this clearly so that the Institute s records can be updated. In order that the Institute can deal promptly with any queries that arise concerning the examinations, candidates must give their daytime telephone number wherever possible. This number must be updated should it change at any time before the examinations are completed. Please supply a valid and correct address. Acknowledgements and your admission permit will be sent via this method. If your needs updating please confirm this to the PMI as soon as possible. Any enquiry concerning examination entry after the form has been submitted must quote the PIN Member number. 2. STUDENT REGISTRATION: Application forms cannot be accepted from those who are not registered as Students of the Institute. 3. FINAL ENTRY DATE AND ACKNOWLEDGEMENT: The last date for entry for the examinations is shown on the entry form and the PMI website. UNDER NO CIRCUMSTANCES CAN ENTRIES BE ACCEPTED AFTER THIS DATE. All entries will be acknowledged. Any candidate who does not receive an acknowledgement within a reasonable time should contact the Institute before the closing date for acceptance of entries and while there is still time for another entry to be submitted if the original has gone astray in the post. Candidates are advised to check their acknowledgements carefully. 4. PAYMENT OF ANNUAL SUBSCRIPTION: Application forms will not be processed if your membership has lapsed. Payment of the subscription is the responsibility of the candidate. If you are not sure if you have an active membership with the Institute please contact the PMI. If you are not already a student member, when you purchase a unit package, you will also need to pay the appropriate subscription fee.

5 5. FEES AND PAYMENTS: All fees can be found on the PMI website. Payment can be made by cheque, BACS or credit card. Cheques should be made payable to The Pensions Management Institute and must accompany the application form. Further details regarding BACS or credit card payments can be found on the fees page. In either case both the payment and the original application form must be received by the closing date for entries. A receipt for examination fees is not an acknowledgement of acceptance or entry. Study Material will only be issued ONCE FULL PAYMENT HAS BEEN RECEIVED. 6. WITHDRAWAL FROM EXAMINATIONS: Examination entry fee packages for Core and Specialist Units includes access to the on-line study material, the examination and the certificate for all those who pass the examination. Therefore, the withdrawal rates shown here have taken this into consideration. Should a candidate decide to withdraw from the examination they must submit their request in writing ONE MONTH before the examination date and they will receive 50% of the examination resit fee. After that date there is no refund and the candidate will be marked as absent from the examination. Candidates who withdraw for medical reasons have until the examination date to notify the PMI. 50% of the examination resit fee will be refunded on receipt of a doctor s certificate. 7. SPECIAL CIRCUMSTANCES: At the discretion of PMI special arrangements can be made for candidates for reasons of illness, disability or similar. Applications under this regulation MUST be made in writing and supported with medical evidence, at the point of entering the examination but no later than 6 weeks before the date of the examination. Applications after that time period will only be considered in the case of sudden illness or accidental injury (again, only if supported with medical evidence). 8. EXAMINATION VENUES: A list of the current examination venues can be found on the examination entry form. Candidates should note that examination venues may change from session to session. Whilst every effort is made to provide a venue that is as central as possible in or to the centre town or city the Institute cannot always guarantee this. Alternatively, candidates can sit their exams at their place of work IF that is an approved centre Candidates should note that it is NOT possible under any circumstances to change their choice of centre after the closing deadline. There are a number of centres overseas and details are available on request from the Institute. A supplementary fee is due when booking at an overseas centre. 9. EXAMINATION ADMISSION PERMITS: The Examination Admission Permits will be ed to candidates approximately two weeks before the examinations are due to begin and this will confirm the address the candidate needs to go to in order to sit the examination. Candidates must check that details are correct on this form and contact PMI if there is any doubt. 10. STUDY MATERIAL LICENCE AGREEMENT: All study materials are for individual use of the registered user and access keys or materials cannot be transferred. By completing the registration form every student undertakes to use this material for his or her own study and reference only and not to sell, lend or give it to anybody else. No part of the materials may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without the prior

6 permission of the Institute. Further information on authorship and copyright can be found within the materials. 11. PHOTO IDENTIFICATION: All candidates will be required to bring appropriate photo identification to the examination hall. You will be required to produce this identification for the examination co-ordinator before the examination begins. If you do not comply with this requirement you will not be permitted to sit the examination. Further details on this regulation will be sent to all candidates and are available from the Qualification Department. 12. CONDUCT OF THE EXAMINATIONS: The conduct of the examinations is under the control of The Pensions Management Institute. All candidates must submit in all matters to the directions and rulings of the PMI invigilator in the examination rooms. 13. LIABILITY: If the Institute, for reasons outside its control, should find it impossible to hold any of its scheduled examinations, or if a candidate s completed script should be lost or destroyed, the Institute's liability shall be limited to a complete refund of the examination fee paid in respect of the examination concerned. 14. RESULTS: (a) (b) Requests for confirmation or reconsideration of the results should be directed to the Qualifications Department at PMI. The examination results will be sent to candidates as soon as they are available. The Institute reserves the right to publish examination results, whether successes or failures. FEBRUARY qualifications@pensions-pmi.org.uk

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