Member Application - The Human Resource Management Association of Trinidad and Tobago

MEMBERSHIP APPLICATION OR RENEWAL
MEMEBERSHIP STATUS
New application*

New applicationRenewal
PERSONAL INFORMATION
First Name*
Middle Name
Last Name*
Gender*
ID
PP
DP
Date of Birth*
Nationality*
CONTACT INFORMATION
Address Line 1*
Address Line 2
City*
Country*
Phone
Mobile
Fax
Primary Email*
Alternate Email
COMPANY AND EMPLOYMENT INFORMATION
Company Name
Address Line 1
Address Line 2
City
Country
Phone
Mobile
Company Size
Sector
Department Size
Industry
Job Title
Area(s) of Expertise
No. of years HR experience:
No. of years - Total Career:
EDUCATION AND TRAINING

Select the highest qualification and give details of the programme and any other specialist qualifications
Qualifications*
Specify Qualification
Details
Other Specialist Certifications
Details of any current study
Programme
Institution/ Accreditation Body
MEMBERSHIP ENGAGEMENT & VOLUNTEERISM

Select any activity you would like to join
Committees
Operational Support to HRMATT
Commercial Activity/Member Partner
POLITICALLY EXPOSED PERSONS (PEP) - Self Declaration

In accordance with the Proceeds of Crime Act 2000 (as amended) and the Financial Obligations (Amendment) Regulations 2014, Regulation 20(3), and as a registered NGO, HRMATT is required to undertake Enhanced Customer Due Diligence on members who are classified as a PEP. A PEP shall be considered as an individual who is or has been entrusted with a prominent function either locally or in a foreign country. A person remains a PEP even after they demit office.
Do you fall into any of the PEP categories as defined below?*

YesNo
Domestic PEP or Foreign PEP
International Organization PEP
Job Title
Family Member of a PEP
Job Title
Close Associate of a PEP (select which best describes your association with the PEP)

Business Partner/Professional Associate: Individuals with joint beneficial ownership of a legal entity or legal arrangement or other close business relationship with a person.Personal Affiliate: An individual who a prominent member of a political party, or girlfriend/boyfriend/partner of a PEP.
Name of PEP
Declaration*

I agree to notify HRMATT if at anytime after this submission, I become a politically exposed person, family member or close associate of a politically exposed person.
SOURCE OF FUNDS DECLARATION (Please indicate main source of funds to used to make payments to HRMATT)*

Emolument IncomeProceeds from Self-Employment / Partnership / CompanyOther
BILLING PREFERENCES
Send Invoice to*

SelfCompany
Year Last Renewed
Member ID
I wish to apply for a Fee Adjustment, due to

Retirementill-healthJob lossReturn to full-time school
REQUIRED DOCUMENTS
To complete your renewal please submit the following to secretariat@hrmatt.com:
1) Completed Application Form (this form)
2) Copy of two valid Photo IDs (eg. National ID (front and back); Driver’s
Permit; Passport)
3) Proof of address (e.g. utility bill or letter from person in whose name it is.
4) Copy of Resume/CV
5) Proof of loss of income, if fee adjustment was requested (eg. proof of
termination, retirement, acceptance for full time studies)
6) Copy of payment deposit as proof of payment (after receipt of invoice)
Upload Documents*

Cancelof
Declaration by Member or Applicant
Declaration*

I hereby declare that all of the information above is true, accurate, and completed as far as possible and that HRMATT can rely on such information and representation as may be required by law, unless written notice of change is provided thereafter.I am willing to accept the objectives of the Human Resource Management Association of Trinidad and Tobago Limited.
Note: Your application will be subject to review by our board. The membership director will inform you regarding its status and further instructions on payment methods will be provided upon approval.
Signature*

Powered by Jotform SignClear
Should be Empty:

MEMBERSHIP APPLICATION OR RENEWAL

MEMEBERSHIP STATUS

PERSONAL INFORMATION

CONTACT INFORMATION

COMPANY AND EMPLOYMENT INFORMATION

EDUCATION AND TRAINING

Details of any current study

MEMBERSHIP ENGAGEMENT & VOLUNTEERISM

POLITICALLY EXPOSED PERSONS (PEP) - Self Declaration

BILLING PREFERENCES

REQUIRED DOCUMENTS

Declaration by Member or Applicant