(Form CPA 3) Student Transfer Application Form

3. EMPLOYMENT DETAILS
Name of Approved Training Employer (ATE):*
i.e.Organisation Name
Designation:*
Employer address*

Street Address

Street Address Line 2

City/TownState

Postcode
Type of Transfer(s):*

Transfer of Principal within S1Transfer of Training Supervisor within S2Transfer of Stream
4. TRANSFER DETAILS
Documentations required for transfers. Please read this carefully

All transfers, except for those transferring from SS2 - S3 are required to complete the Practical Experience Form. Please download the form - here - complete it and attach it in the space provided below.

Those transferring between Principals/Training Supervisors need to ensure that:
- Principals should be either 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
We will require principals and/or training supervisors who are not MICPA members provide details of their professional body, membership number and membership certificate
CURRENT Stream (please check with MICPA if you are unsure of your current stream):*

Stream I (S1)Stream II (S2)Stream III (S3)Special Stream II (SS2)
A. To be completed by Transfer of Principal (transfer within/to Stream I)
Name of Principal
Name of Firm (Approved Accounting Firm - AAF)
Practical Experience Execution Date

DayMonthYear
Date
Last Day of Service with Previous ATE (Date) **Required information for previous Stream I/II students**

DayMonthYear
Date
Name of Previous ATE **Required information for previous Stream I/II students**
Practical Experience Execution Date

DayMonthYear
Date
Please upload Practical Experience Document. Download here: https://www.micpa.com.my/v2/wp-content/uploads/2022/02/Practical-Experience-Document_MICPA.pdf

Cancelof
B. To be completed by Transfer of Stream/ Training Supervisor (transfer to Stream II)
Name of Training Supervisor
Name of Organisation (Approved Training Organisation - ATO)
Name of Previous ATE **Required information for previous Stream I/II students**
Please upload Practical Experience Document. Download here: https://www.micpa.com.my/v2/wp-content/uploads/2022/02/Practical-Experience-Document_MICPA.pdf

Cancelof
Please upload Membership certificate of the Training Supervisor **Applicable to Stream II student only** (MICPA/ GAA/ ACCA member with minimum 3 years of Membership)

Cancelof
Please upload final degree transcript/ certificate (only for transfer from Special Stream II to others stream)

Cancelof

7. DECLARATION
DECLARATION BY APPLICANT*

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 examination details registrations and I might be contacted by these bodies.
PAYMENT OF FEES

(Note: A Penalty of RM250 imposed if the application of transfer lodged with the Institute more than 30 days from the new commencement date)

Transfer Fee	RM250.00
Late Transfer Fee	RM250.00

Mode of Payment:

Payment via Online Banking (CIMB Bank A/c No: 8001554071 A/c Name: MICPA) Swiftcode CIBBMYKLPayment by Credit CardPayment by Firm
Please click here to download the Credit Card Authorisation Form and fill it up accordingly.
Please upload the proof of payment

Cancelof
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
Should be Empty:

(Form CPA 3) Student Transfer Application Form

1. PERSONAL DETAILS

2. SPONSORSHIP

3. EMPLOYMENT DETAILS

4. TRANSFER DETAILS

Documentations required for transfers. Please read this carefully

A. To be completed by Transfer of Principal (transfer within/to Stream I)

B. To be completed by Transfer of Stream/ Training Supervisor (transfer to Stream II)

7. DECLARATION

PAYMENT OF FEES