(Form CPA 3) Student Transfer Form

(Form CPA 3) Student Transfer Form
1. PERSONAL DETAILS
Student No:*
e.g. 1/9xxxA; S10xxx
Title:*
Mr/Ms/Cik/En
Full Name:*
As per Identity Card/ Passport
Date of Birth:*

DayMonthYear
DD-MM-YYYY
Gender:*

MaleFemale
Nationality:*
Identity Card No/Passport No:*
Passport No. for non-citizens only
Tax Identification Number (TIN) No:*
Check your TIN here: https://mytax.hasil.gov.my/ezHasil?data=e-Daftar&id=ezHasil%20sebelum
Do you need an e-invoice:*

YesNo
Address*

Street Address

Street Address Line 2

City/TownPostcode

State
Home Tel No.:
e.g. 6031234567
Mobile No:*
e.g. 6012xxxxxxx
Email address:*
e.g. abc@xxxx.com
Emergency Contact Name:*
Emergency Contact Mobile No:*
e.g. 6012xxxxxxx
Relationship with Emergency Contact:*

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

Street Address

Street Address Line 2

City/TownState

Postcode
Designation/Position at ATE:*
Type of Transfer(s):*

Transfer of Principal within S1Transfer of Training Supervisor within S2Transfer of Stream (S1/S2/S3)
3. TRANSFER DETAILS
Please read and understand this before proceeding

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

For students who are changing Principals/Training Supervisors and vice versa, please ensure that the new Principal/Training Supervisor meet the respective criteria.

We require principals and/or training supervisors who are not MICPA members to provide details of their professional body, membership number and membership certificate
CURRENT Stream (please check with MICPA if you are unsure):*

Stream I (S1)Stream II (S2)Stream III (S3)Special Stream II (SS2)
A. Transfers of Principal (Within/To Stream I)
Name of Principal
Name of Approved Accounting Firm (AAF)
Practical Experience Start Date

DayMonthYear
Date
Previous ATE (for existing Stream I/II students)
Last Date of Service with Previous ATE (for existing Stream I/II students)

DayMonthYear
Date
Practical Experience Execution Date

DayMonthYear
Date
Upload your Practical Experience Document in the box below

Template: https://www.micpa.com.my/v2/wp-content/uploads/2026/01/Revised-PED_Jan-2026.pdf
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B. Transfers of Stream/ Training Supervisor (transfer to Stream II)
Name of Training Supervisor
Name of Approved Training Organisation (ATO)
Previous ATE (For existing Stream I/II students)
Please upload Practical Experience Document. Download here: https://www.micpa.com.my/v2/wp-content/uploads/2026/01/Revised-PED_Jan-2026.pdf

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

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

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Please upload Practical Work Experience Logbook (if you have accumulated more than 6 months with your previous ATE) Download here: https://www.micpa.com.my/v2/wp-content/uploads/2023/07/Template-Student-PWE-Logbook_Final.pdf

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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.
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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(Form CPA 3) Student Transfer Form

1. PERSONAL DETAILS

2. EMPLOYMENT DETAILS

3. TRANSFER DETAILS

Please read and understand this before proceeding

A. Transfers of Principal (Within/To Stream I)

B. Transfers of Stream/ Training Supervisor (transfer to Stream II)