Application For Membership - CPIA

Application for Membership - CPIA

This application cannot be processed unless copies of academic/professional qualifications & CV are enclosed Application for Membership

Personal Details

Title*

Surname*

Forename(s)*

Full Name*

Contact email address*

Country*

State / Province*

City*

P.O Box / Zip (Important)*

Address*

Telephone

Mobile*

FAX

Date of Birth*

Job Title*

Business Details

Company Name*

Country*

Postcode / Zip*

Business Email*

Business Telephone*

Business FAX

Address for Correspondence

Home*

Business*

Academic Details

Qualification*

Year*

College/University*

Upload*

Qualification

Year

College/University

Upload

Qualification

Year

College/University

Upload

Qualification

Year

College/University

Upload

Upload CV*

References

(A Reference must be supplied before the application can be processed)

I certify that the above applicant has been personally known to me and that the applicant is, to my knowledge, of good character, and in my opinion is a suitable person to be admitted as a member of the Institute. To the best of my knowledge, the details of his/her application are correct.

Referee Name*

Job Title*

Company*

Referee Email*

Waiver Form

Waiver Form

I certify that the information declared in the application form for membership and certification is correct. If I would misrepresent my credentials, or allow my membership in the Institute of Certified Forensic Accountants to lapse, I understand and agree that my Institute of Certified Forensic Accountants status will be revoked and my membership terminated.

I affirm that all the information that I have provided to the Institute of Certified Forensic Accountants is true, correct, and complete and I agree to hold harmless and indemnify the Institute of Certified Forensic Accountants and its officer, directors, employees, and agents for any misrepresentations of my credentials and for all claims, loss, damage, judgment or expense.

I certify that I have not been convicted of a felony. I have not been disciplined for any ethical violation in the last 10 years and I am not under any investigation by any legal or licensing board.

Membership of the Institute of Certified Forensic Accountants does not constitute the grant of the license or other licensing authority by or on behalf of the organization as to a member’s qualifications, abilities, or expertise. The Institute of Certified Forensic Accountants does not endorse, guarantee or warrant the credentials, works, or opinions of any individual member.

Accepting the Waiver Form*

Accepted

Examination Options

Examination Options*

Package (A) : Exam Preparation - Self Study

Package (B) : Exam Exemption

Shipping Fee

Shipping fee for a Hard Copy (Original) of your certification*

Free: The shipment will be sent by registered mail, the expected time is from 4 to 12 weeks

USD 148: The shipment will be sent by DHL, the expected time is from 10 to 20 days

Acknowledgment

I agree to accept the decision of the council regarding my edibility for membership, if elected, I agree to abide by the Institute’s Charter and Bye-laws and to observe the provisions of the Institute’s Code of Professional Standards. I confirm that the information supplied in support of my application is correct.

Print Name*

Date*

I have read and accepted the Terms & Conditions and Privacy Policy

Message (optional)

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Application For Membership – CPIA

Application for Membership - CPIA