Chartered Professional Accountants of Canada
277 Wellington Street West Toronto ON CANADA M5V 3H2
T. 416 204-3276 F. 416 977.8585
www.cpacanada.ca/caribbean
CPA PREPARATORY COURSES
SEMESTER 1 2017 CORE REWRITE EXAM REGISTRATION FORM
FOR APPLICANTS IN THE CARIBBEAN
This registration form is required for students completing CPA Preparatory courses for rewrite exam
registration. If you have any questions about this form, contact [email protected].
Students completing CPA Preparatory courses have up to a maximum of three attempts to pass each course.

A student who fails the first attempt at a course with a mark above 50% can attempt the rewrite
examination. If the student fails the second attempt, the student is required to retake the course in order to
have a third and final attempt at the examination.

A student who fails the first attempt with a mark less than 50% must retake the course before a second
attempt at the examination is permitted.
Date of Submission (mm/dd/yyy):
Privacy Statement:
The information collected by this form is used for the purposes of registration. The personal information collected is
treated in accordance with the CPA Privacy Policy.
Module
Exam Period
Deadline
Intermediate Financial Reporting I
Cost (USD)
$150.00
Advanced Financial Reporting
March 3 - 4
Audit and Assurance
Intermediate Management Accounting
December 22
$150.00
$150.00
$150.00
PERSONAL INFORMATION
Country of Residence:
CPA Canada ID:
First Name:
Surname:
Preferred Telephone:
Preferred Email:
Alternate Telephone:
Alternate Email:
REFUND POLICY
The CPA PREP module rewrite exam fee is 100% non-refundable.
PAYMEMT INFORMATION
USD
Total fee remitted to CPA Canada for CPA PREP:
Select a Payment Method:
VISA - Credit Card
MasterCard – Credit Card
Cardholder Name (as it appears on credit card):
Credit Card Number:
Expiration Date:
Card Security Number:
I authorize the CPA Canada to charge the above credit card as specified above
Cardholder Signature:
Select checkbox to indicate a digital signature
I declare that the above information and all other information given in this application is true and correct.
Full name of Applicant:
Signature:
Select checkbox to indicate
a digital signature
SUBMISSION
Consent for Commercial Electronic Messages:
In compliance with Canada's Anti-Spam Legislation (CASL), please indicate if you give CPA Canada your
consent to contact you via email for updates and opportunities related to the CPA certification path.
Yes, I provide my consent
Complete and save this form electronically, and submit to [email protected].
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