(CPA-1) MICPA New Student Registration Form

(CPA-1) MICPA New Student Registration Form
NOTE

Before submitting your registration please click here for a List of Approved Qualifications for Exemptions to check if your qualification is accredited.

If your academic qualification is not accredited by MICPA, please email your degree transcripts to education@micpa.com.my for an evaluation on your eligibility and the number of exemptions before proceeding with the student registration.

If you have previously registered as a MICPA student, please contact Student Affairs at studentaffairs@micpa.com.my before completing this application.
1. PERSONAL DETAILS
Name:*
As per Identity Card/ Passport
Stream (please contact MICPA if you are unsure of your stream):*

Stream IStream IIStream IIISpecial Stream II
Date of Birth:*

DayMonthYear
DD-MM-YYYY
Gender:*
Race:*
Nationality:*
Mobile Number:*
e.g. 6012xxxxxxx
Identity Card No./ Passport No:*
Passport No. for non-citizens only
Please upload your IC (front & back) or your Passport (biodata page) here. Documents must be either in colour or certified true copy

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Correspondence Address:*

Street Address

Street Address Line 2

City/TownState

Postcode
Email address:*
e.g. abc@xxxx.com
Emergency Contact Name:*
Emergency Contact Mobile Number:*
e.g. 6012xxxxxxx
Relationship:*
2. ACADEMIC QUALIFICATIONS
Name of University/College:*
Title of Degree/Diploma (please indicate for your highest qualification):*
eg Bachelor of Accounting (Hons)
Date of Degree/Diploma Completion: *
Please upload your University degree and/or your Diploma transcript(s) here. Documents must be either in colour or certified true copy

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3. EXEMPTIONS AND PRE-REQUISITES FOR MICPA MODULES
Please indicate the Professional Stage Examination (PSE) modules you are exempted from:*

Business Strategy & Financial Management (BSFM)Auditing (AA)Financial Reporting (FR)Business & Company Law (BCL)I am not eligible for any exemptions at the PSE level
Please upload, if any, confirmation email(s) from MICPA for any exemptions granted

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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:
Please provide the name of the person-in charge for invoicing
Please provide the email address of the person-in-charge 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 or the completed credit card authorisation form

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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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(CPA-1) MICPA New Student Registration Form

NOTE

1. PERSONAL DETAILS

2. ACADEMIC QUALIFICATIONS

3. EXEMPTIONS AND PRE-REQUISITES FOR MICPA MODULES

4. PRESENT EMPLOYMENT

Principal or Training Supervisor Details

Important information

5. SPONSORSHIP

5. PAYMENT OF FEES

DECLARATION

Privacy Statement