Recent Passport Size Photograph APPLICATION FOR ADMISSION TO MEMBERSHIP AS A CA (SINGAPORE) UNDER THE RECIPROCAL MEMBERSHIP AGREEMENT (RMA) Full Name: ________________________________________________________________________ FOR OFFICIAL USE ONLY Date received: _______________________ Membership no: _____________________ Approved date: ______________________ Cheque no: _________________________ Receipt no: ______________________ CA (Singapore) Application (RMA) – Version 1 (3 April 2017) Page 1 of 7 SECTION 1 : PERSONAL PARTICULARS Please tick ; where appropriate Salutation (please delete accordingly): Mr / Miss / Ms / Mrs / Mdm / Dr / Prof / AP _______________________ First Name: Date of Birth: ______ /______ /__________ Pink NRIC / Blue NRIC / FIN / Passport No. (please delete accordingly): ______________________________ Last Name: (DD/MM/YYYY) __________________ __________________ ID Country of Issue: Nationality: F Singaporean F Others (specify): ___________________________ Singapore PR: F Yes F No F N/A Gender: F Male F Female Marital Status: F Single F Married F Others (specify): ___________ SECTION 2 : CONTACT AND EMPLOYMENT DETAILS Residential Address: Please tick ; if you are residing overseas: F I declare that I am residing overseas. (Please refer to item 5 of “Application Directions”) _______________________________________________ _______________________________________________ _________________________ (City/State) (Country and Postal Code) Same as Residential Address Mailing Address: Please fill up your mailing address if it is different from your residential address. Tel No.: ___________________________ ______________________________________________________________ ______________________________________________________________ _____________________________ (Mobile) ____________________________ (Office) Email Address: _______________________________________________________________ Present Employer: _______________________________________________________________ Position Title: _______________________________________________________________ Job Level: F Board of Directors F Senior Management F Managerial F Middle Management F Senior Associate/Senior Executive F Associate/Executive/Assistant SECTION 3 : ISCA MEMBERSHIP Are you currently an ISCA Associate Member? CA (Singapore) Application (RMA) – Version 1 (3 April 2017) F Yes F No Page 2 of 7 SECTION 4 : QUALIFICATION Professional Qualification Name of Professional Accountancy Body: (Please tick ;where appropriate) F The Institute of Chartered Accountants in England and Wales (ICAEW) F The Institute of Chartered Accountants of Scotland (ICAS) Date of Course Commencement: ____ / ____ / ______ DD MM YYYY Date of Completion of Final Examination: ____ / ____ /______ DD MM YYYY SECTION 5 : MEMBERSHIP OF OTHER PROFESSIONAL BODIES I am an existing FULL member of the following Professional Accountancy Body: (Please tick ;where appropriate) F The Institute of Chartered Accountants in England and Wales (ICAEW) F The Institute of Chartered Accountants of Scotland (ICAS) Membership No.: _______________________ Date of Admission as a Full Member: ____ / ____ / ______ DD MM YYYY SECTION 6 : WORKING EXPERIENCE Accredited Employer Scheme (AES): To apply for CA (Singapore) under the Accredited Employer Scheme (AES), your CURRENT employer must either be a registered partner with ISCA or an Accredited Training Organisation. This scheme aims to facilitate the application process of which applicants who are employed with AES firms do not need to submit certified true copies of the required documents. Please verify with the HR of your Company to confirm eligibility. Current Employer: F AES (Please tick ;where appropriate) F Non-AES In chronological order. Please attach a separate sheet if more space is required. Please specify the period of your employment, with the exact commencement and cessation dates, your job title and a detailed description of your duties. From (Date) To (Date) Company Designation Job Duties From (Date) To (Date) Company Designation Job Duties CA (Singapore) Application (RMA) – Version 1 (3 April 2017) Page 3 of 7 SECTION 7 : TWO CHARACTER REFEREES Must not be immediate family members or close relatives of applicant. a. From a current CA (Singapore) of the Institute of Singapore Chartered Accountants or a full member of an accountancy body recognised by the Institute’s Council for membership purpose. I, the undersigned, have known the applicant favourably (insert name of applicant) __________________________ for ________ years, recommend him or her to membership of ISCA, believing him or her from personal knowledge to be a fit and proper person to be admitted to the membership register. Name: Relationship: Name of Accountancy Body: Membership ID.: Email Address: Contact No.: Date (dated no more than 3 months prior to the date of application): Signature: ____ /____ /__________ DD MM YYYY b. From the applicant’s present employer such as reporting officer or HR manager. If employed for less than 6 months with present employer, immediate past employer or CA (Singapore)/full member of a recognised professional accountancy body can be considered. I, the undersigned, have known the applicant favourably (insert name of applicant) ____________________________ for ________ years, support his or her application for membership of ISCA, believing him or her from personal knowledge to be a fit and proper person to be admitted to the membership register. Name: Relationship: Email Address: Contact No.: Reference Type (Please ; where applicable): F F F F Present Employer Company Name: ____________________ Position Title: ___________ Immediate Past Employer Company Name ____________________ Position Title: ___________ CA (Singapore) Membership ID: _______________________________________________ Full Member from Other Professional Body Recognised by ISCA: Membership ID: ________ Name of Accountancy Body: _________________ Date (dated no more than 3 months prior to the date of application): Signature: ____ / ____ /__________ DD CA (Singapore) Application (RMA) – Version 1 (3 April 2017) MM YYYY Page 4 of 7 SECTION 8 : DECLARATION Please answer the following questions by ticking ; where appropriate. For any “Yes”, please provide details in the space below. Please attach a separate sheet if more space is required. (i) Have you ever been convicted of any criminal offence? F Yes F No (ii) Have you ever been adjudged a bankrupt or made an assignment for the benefit of your creditors? F Yes F No (iii) Have you ever been a subject of any investigation by governmental, statutory or professional in respect of any offence involving dishonesty or any complaint for professional misconduct? F Yes F No (iv) Have you been refused entry to any professional body or have your membership or registration with such body terminated or suspended? F Yes F No (v) Have you been a member of ISCA previously? F Yes F No __________________________________________________________________________ ____________________________________________________________________ 1. I confirm that I had previously read and had agreed to the Terms of Use and the Privacy and Data Protection Policy which sets out how my personal data will be collected, used, disclosed and processed by ISCA and the purposes of processing. 2. I confirm that I have obtained the full membership with the respective home body of the RMA through completion of the normal education and training route or through approved credit or scheme arrangements. 3. I understand that a failure to retain the home body membership may result in the termination of the reciprocal membership. 4. I acknowledge that if my application does not meet the admission criteria, there is no refund for the admission fee paid for the application. 5. I declare that the information provided in this application is true and to the best of my knowledge and belief. I understand that any false or misleading statement in this form could lead to disciplinary action being taken against me and/or may invalidate any decision reached on this application. I shall observe and abide by the Rules and Regulations of the Institute if I am admitted as a member of ISCA. Signature:__________________ CA (Singapore) Application (RMA) – Version 1 (3 April 2017) Date: ________ /________ /________ Page 5 of 7 SECTION 9(A) : CA (SINGAPORE) MEMBERSHIP FEES FEE PAYABLE FOR APPLICATION SUBMITTED BEFORE 1 MAY AND AFTER 1 NOV Fees including GST (S$) New CA (Singapore) Applicant Admission Fee Annual Subscription Total Existing Associate 428.00 449.40 877.40 321.00 235.40 ▲ 556.40 FEE PAYABLE FOR APPLICATION SUBMITTED ON OR AFTER 1 MAY AND BEFORE 1 NOV Fees including GST (S$) New CA (Singapore) Applicant Admission Fee Annual Subscription Total Existing Associate 428.00 224.70 652.70 321.00 117.70 ▲ 438.70 ▲ This amount is applicable only if the applicant is an Associate (ISCA) and has already renewed the annual membership for the current year. SECTION 9(B) : PAYMENT a. Enclose a crossed cheque/bank draft in Singapore dollars (Cheque No: ______________ ) made payable to “ISCA”. Or b. I, hereby authorize Institute of Singapore Chartered Accountants to charge to my credit card of which the details are given below. Credit Card: F VISA F MasterCard F AMEX Credit Card No: ____________-____________-____________-_________ Card Expiry Date: _________ /_________ (MM/YY) Cardholder’s Name: ______________________________________________________________ Cardholder Signature: __________________________ Amount: S$ ___________________ CA (Singapore) Application (RMA) – Version 1 (3 April 2017) Page 6 of 7 APPLICATION DIRECTION 1. Application will only be processed if the application is duly completed and signed, with all supporting documents attached. Kindly ensure that you have included the certified true copy* of the following documents: NRIC/FIN/Passport Professional Qualification Certificate Professional Qualification Transcript Letter of Good Standing from the home body confirming that: - You have acquired the full membership status by completing the normal training and education route - You are a member in good standing with a good disciplinary record and no outstanding complaints against you. The letter of good standing should be dated not more than three months prior to the date of application. e. Deed Poll (if applicable) a. b. c. d. *Certified True Copy - For Non-AES applicants, please note that all documents have to be CTC by a CA (Singapore) or a member from any of the recognised professional bodies. AES applicants need not submit CTC documents. 2. If applicable, include certified true copy of your deed poll if the name on your documents is not the same as that on your application form. 3. Email your completed application with all the necessary documents and appropriate fees to [email protected] or send the hardcopy documents by post to: Member Services Department 60 Cecil Street ISCA House Singapore 049709 4. Goods & Services Tax (GST) will be applicable for members residing in Singapore. For zero-rated GST to apply, members residing overseas must tick to declare that they are residing overseas at the “Personal Particulars” section. For non-declaration, standard rated GST will apply. 5. For enquiries, please contact officers from the Institute’s Member Services Department at 65-65975533 or email: [email protected]. CA (Singapore) Application (RMA) – Version 1 (3 April 2017) Page 7 of 7
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