CPA AUSTRALIA ENROLMENT FORM FOR MUTUAL RECOGNITION AGREEMENTS

CPA AUSTRALIA
ENROLMENT FORM
FOR MUTUAL RECOGNITION AGREEMENTS
PLEASE READ THESE INSTRUCTIONS CAREFULLY
You can enter your details directly into the enrolment form on your computer and then send us a printed and signed copy. We recommend that you keep a copy for
your own records. Incomplete forms cannot be processed and this will delay your enrolment.
WHAT IS THIS FORM FOR?
Once you have completed a Membership Application for Mutual Recognition Agreements, you can use this form to enrol in your remaining study units to attain the
CPA designation.
If you have not applied for membership, you will need to send us an application form. Information is available on the CPA Australia website at
cpaaustralia.com.au/internationalaffiliations
(A) ABOUT YOU
YOUR PERSONAL DETAILS
CPA Australia ID /
Member number
Title
Last name
Gender
First name
This will be used as
your first name in our
correspondence.
Preferred name (optional)
Date of birth
Your email address
(mandatory)
Email
YOUR ADDRESS DETAILS
Your home address details
with CPA Australia will be
updated based on the
information you provide
on this form.
Home address
Suburb or city
State, Province
or Region
Postcode or ZIP
Country
YOUR MAILING ADDRESS
Your mailing details with
CPA Australia will be
updated based on the
information you provide
on this form.
Mailing address
Your study materials, if
applicable, will be sent
to this mailing address.
A street address is
recommended.
Suburb or city
State, Province
or Region
Country
Postcode or ZIP
In Australia: Study materials
are mailed to street
addresses and post office
boxes.
Outside Australia: Study
materials are couriered to
street addresses. If you
live in Russia, your study
materials must be sent to
a business address. Ensure
you include the business
name.
2 | Membership application and CPA Program professional level enrolment form
(B) ENROL
Important semester dates
Semester 1
Semester 2
Enrolments open
Monday 9 December 2013
Monday 16 June 2014
Early bird study unit fee closing date
Tuesday 14 January 2014
Tuesday 15 July 2014
Enrolments close
Tuesday 28 January 2014
Monday 28 July 2014
Semester begins
Monday 10 February 2014
Monday 4 August 2014
Important online dates
Enrolments are open all year
SELECT YOUR STUDY UNIT
Your professional body
Study Unit
Semester 1
Semester 2
Online
CGA Canada members
CPD063 Better Practice in Governance and Accountability
N/A
N/A
CMA Canada members
CPA101 Advanced Audit and Assurance
N/A
CPA Ireland members
CPA118 Ethics & Governance
N/A
CPA117 Global Strategy & Leadership
ICAI members
N/A
CPD063 Better Practice in Governance and Accountability
ICASL members
N/A
N/A
CPA118 Ethics & Governance
SELECT YOUR EXAM LOCATION
For semester based study, once you have received your enrolment confirmation email, please go to cpaaustralia.com.au/mycpaprogram to schedule your exam venue,
time and date.
(C) YOUR AGREEMENT
I agree to be enrolled in the mutual recognition agreement study units.
I understand that CPA Australia has the right to vary or cancel an enrolment made on the basis of incorrect or incomplete information.
I have read, understood and agree to be bound by the study unit rules and regulations available at the following links:
CGA Canada: cpaaustralia.com.au/cgacanadarules
CMA Canada: cpaaustralia.com.au/cmacanadarules
CPA Ireland: cpaaustralia.com.au/cpairelandrules
ICAI: cpaaustralia.com.au/icairules
ICASL: cpaaustralia.com.au/icaslrules
I have read the Privacy Policy at cpaaustralia.com.au/privacypolicy and consent to my personal information being collected, held, used and disclosed in the manner
and for the purposes stated there.
Signature
Date
Your location
Mail your form to
Australia & all other locations
CPA Australia
Member Administration
GPO Box 2820
Melbourne VIC 3001
AUSTRALIA
/
OR
/
Courier your form to
CPA Australia
Member Administration
Level 20, 28 Freshwater Place
Southbank VIC 3006
AUSTRALIA
3 | Membership application and CPA Program professional level enrolment form
WHAT HAPPENS NEXT?
1. We will send you an enrolment confirmation email.
2. If you enrol into a semester segment, we will mail you study materials. You will also have access to My Online Learning, CPA Australia's online learning platform.
3. If you enrol into an online study unit, we will email you instructions on how to access the online study unit. You will have six months to complete the online assessment
through My Online Learning, CPA Australia's online learning platform.
(D) HOW TO PAY
You can pay these fees by credit card, cheque or bank draft.
Semester 1 fees
Closing Date
If your home address is in Australia
Tuesday 14 January 2014
AUD$900
Semester 1
If your home address is in Australia
Tuesday 28 January 2014
AUD$1000
Closing Date
If your home address is in Australia
Early Bird Fee
Tuesday 15 July 2014
AUD$900
Semester 2
If your home address is in Australia
Standard Fee
Monday 28 July 2014
AUD$1000
Product
CPA101 Advanced Audit and Assurance
CPA118 Ethics & Governance
CPA117 Global Strategy & Leadership
Early Bird Fee
Standard Fee
Semester 2 fees
Product
CPA101 Advanced Audit and Assurance
CPA118 Ethics & Governance
CPA117 Global Strategy & Leadership
Online fees
Product
Australia
CPD063 Better Practice in Governance and Accountability
AUD$197 (GST inclusive)
If your home address is in Hong Kong, New Zealand, Malaysia, Singapore or the United Kingdom – local currency equivalents apply. To find your applicable fee in your
local currency, please go to: cpaaustralia.com.au/fees*
If your home address is in any other location, fees are to be paid in Australian dollars (exclusive of GST). To find your applicable fee, please go to cpaaustralia.com.au/
fees*
*all prices are subject to change.
4 | Membership application and CPA Program professional level enrolment form
IF YOU ARE PAYING BY CREDIT CARD
Card Type
CPA Australia American Express AMEX Visa MasterCard Diners
Name on card
Total amount
Card number
Expiry date
/
I authorise CPA Australia to debit my credit card for this total amount.
Cardholder's
signature
Date
/
/
Please ensure card numbers are entered clearly and correctly.
Please print and sign. We do not accept digital signatures.
IF YOU ARE PAYING BY CHEQUE
Your cheque should be made payable to “CPA Australia Ltd”.
Personal cheques will only be accepted if drawn from an Australian bank account unless paying directly to our offices in Hong Kong, Malaysia, Singapore
or the United Kingdom. You will be liable for any fees incurred from a dishonoured cheque.
If you are paying from outside of Australia, the bank draft must nominate a corresponding Australian bank through which we can process the payment.
CPAH0977_B_05/2014
Tick this box if you are paying by cheque and staple your cheque to this page
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