(CPA-1) MICPA New Student Registration Form

4. PRESENT EMPLOYMENT
Name of Approved Training Employer (ATE)*
Designation*
Employer's address*

Street Address

Street Address Line 2

City/TownState

Postcode
Date of execution of practical experience*

DayMonthYear
Date
Principal or Training Supervisor Details
Important information

You will need to have an eligible Principal or Training Supervisor to oversee your training and sign your work experience document in the ATE you are working at.

Eligibility:
- Principals should either be a member of MICPA or any GAA bodies
- Training Supervisors should either be a member of MICPA, ACCA or GAA bodies
- Both principals and training supervisors must have at least 3 years of POST membership experience
Please provide us with details of your intended Principal/Training Supervisor below.

You may check with MICPA if you are unsure of your Principal or Training Supervisor's eligiblity
Name of Principal/Training Supervisor*
Professional Qualification of Principal/Training Supervisor*
Membership Number*
Please upload your Principal / Training Supervisor's membership certificate

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Please upload your Practical Experience Document here

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5. SPONSORSHIP
Please state if you are sponsored by any of the below*

Self-sponsoredEmployer/Firm/OrganisationYayasan Peneraju Pendidikan BumiputeraMARAMICPA Education Trust Fund (ETF)MICPA Student Sponsorship Programme (SSP)IPNCPD (Jabatan Akauntan Negara)Other
Please state the complete name of the billing entity for invoicing:

5. PAYMENT OF FEES
Our updated scale of fees can be found here - Students Scale of Fees

Payment Modes:
- Online Banking (CIMB Bank Account No: 8001554071 Account Name: MICPA Swiftcode CIBBMYKL). Please upload your transaction slip in the space below
- If you would like to pay by credit card, please download our credit card authorisation form here.
Please upload your proof of payment here

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DECLARATION
Please read the following statements and check all the boxes to confirm that you have read, understood and accept them*

I hereby certify that the above information is correct and agree to abide by the articles and by-laws of the Institute when I am accepted as a registered student.I understand that the details provided above will be shared with CAANZ and/or MICPA approved training employers and/or other regulatory bodies for the purpose of student and exam details registrations and I might be contacted by these bodies
Privacy Statement

At The Malaysian Institute of Certified Public Accountants (“MICPA”), we are committed to protecting your privacy in accordance with the Personal Data Protection Act 2010 of Malaysia (“PDPA”).

This Notice explains:

• the type of personal data we collect and how we collect it
• how we use your personal data
• the parties that we disclose the personal data to; and
• the choices we offer, including how to access and update your personal data.

Your information will also be used and disclosed as set out in MICPA’s Privacy Policy, available at www.micpa.com.my
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