Online Registration Supporting Documentation

ACCA The Association of Chartered Certified Accountants, 2 Central Quay 89 Hydepark Street, Glasgow G3 8BW

Customer Number

*1851195*
1851195

Date: 20/03/09

Application Details:

Grzegorz Plewka
66.00

Fee Payable: Payment Type:

Joint Scheme? N

*OLIRDOC*
OLIRDOC

OFFICIAL USE ONLY 3No Fee 3No Photo 3Docs 3Fee Code

p p
3Amount

*OLIRDOC*

Please return this form with any applicable payment and your supporting documentation to:

OLIRDOC

Online Registration Photograph to Be Imaged Form

Please attach your registration photograph to this form and return the form with the rest of your supporting documentation to: ACCA The Association of Chartered Certified Accountants, 2 Central Quay 89 Hydepark Street, Glasgow G3 8BW

Customer Number: 1851195

MR. Grzegorz Plewka

London SW19 1SY UNITED KINGDOM

Please attach your registration photo here. Please write your application number on the reverse of your photo.

*1851195*
customer number