Application Form –Postgraduate Studies in International Finance DETAILS ABOUT THE PAYER 1. General information Student’s Name and Surname Job Title/Position E-mail address Mobile: Amount of payment: Amount in words: Date of payment: Please, attach a copy of your payment confirmation. 2. Billing information Company Company representative Invoice address including VAT No. (NIP) Correspondence address Telephone  Yes, I give my consent for an electronic invoice to be sent to the e-mail address Terms and conditions of taking part in Ernst & Young spółka z ograniczoną odpowiedzialnością Academy of Business sp.k. studies: In order to take part in the studies, the above form must be filled out and sent via e-mail to: academyofbusiness@pl.ey.com. The payment must be settled at least 10 business days prior to the commencement of the studies. The payment should be settled through a bank transfer. Account details are as follows: HSBC Bank Polska, account number (PLN): 61 1280 0003 0000 0031 1251 3031.   Terms and conditions of cancelling participation in Ernst & Young spółka z ograniczoną odpowiedzialnością Academy of Business sp.k. studies: It is possible to withdraw from the studies upon receipt of a written resignation at least 14 days prior to the commencement of the studies. If the deadline is missed, the participant must pay a part or the full fee of the studies - specified in the brochure. The cancelation of participation in the course does not result in refund of the payment. However, it is possible to replace the participant unable to attend. I agree that Ernst & Young spółka z ograniczoną odpowiedzialnością Academy of Business spółka komandytowa with the registered seat at 26, al. Armii Ludowej, in Warsaw (00-609):  processes the data provided in the above Application Form for the purpose of active participation in the postgraduate studies, according to the Act of 29 August 1997 on the Protection of Personal (Journal of Laws of 2016, item 922) as well as sends me by email to the above given e-mail address, according to the Act of 18 July, 2002 on Providing Services by Electronic Means (Journal of Laws of 2016, item. 1030), information regarding this studies necessary to realize this studies.  processes the data provided in the above Registration form for purposes of sending commercial information and direct marketing.  sends me commercial information by email to the above given e-mail address in accordance with the Act of 18 July, 2002 on Providing Services by Electronic Means (Journal of Laws of 2016, item. 1030). I am aware that I have the right to correct, amend, or update my data according to the Act of 29 August 1997 on the Protection of Personal (Journal of Laws of 2016, item 922). I hereby declare that I have read and I accept the terms and conditions of taking part and cancelling participation in the courses/events. The issues not covered by this Form shall be governed by the General Terms and Conditions of Providing Services. Date and signature Company stamp www.academyofbusiness.pl © EY. All rights reserved. Ernst & Young spółka z ograniczoną odpowiedzialnością Academy of Business s.k. | al. Armii Ludowej 26 | 00-609 Warszawa District Court for the City of Warsaw, Economic Dept. XII of the National Court Register; KRS: 0000530201, NIP: 526-26-970-16