cma australia - institute of certified management · pdf filepart 1 personal information ......
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Part 1 PERSONAL INFORMATION
Title: (Dr/Mr/Mrs/Ms/Miss/Other) _______________ First Name_______________________________________ Preferred Name _________________________________________
Middle Name(s) ___________________________________________________Last Name(s)____________________ ___________________________________________________________
Date of Birth (dd/mm/yy) ______ /______ / ______ Gender [ ] Male [ ] Female
Part 2 CONTACT DETAILS Mailing Address - This is my [ ] Home [ ] Business
Address Line 1: _________________________________________________________________________________________________________________________________________________
Address Line 2: _________________________________________________________________________________________________________________________________________________
Suburb ______________________________ City _________________________________ State _______________ Postcode ___________________ Country ______________________
Home ________________________________ Mobile: ____________________________ Email ______________________________________________________________________________
Part 3 PRESENT OR MOST RECENT EMPLOYMENT
Employer’s Name __________________________________________________________________________________________ Date of Appointment _____________________________
Employer’s Address _____________________________________________________________________________________________________________________________________________
Post Held/Current Occupation/Situation________________________________________________________________________________________________________________________
Important - You must provide your Curriculum Vitae detailing information of the business experience that you think will be of significance to your application, eg. work in
reporting to management; financial management; information systems; financial modelling; internal auditing; pricing; logistics; cost analysis etc. (These must be detailed in
attached Curriculum Vitae)
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Application for CMA Australia Membership
Please complete this form in BLOCK CAPITAL
LETTERS and send to Institute by post or
scan-email. Do not post any original
documents with this form. The Institute will
retain all materials sent with this form.
Students are required to send appropriate fees
in AUD by Bank Draft, or Credit Card details
with this application.
STUDENT MEMBERSHIP AND UNIT EXAMINATION FEES
Please tick one grade of membership application only
Non Refundable Application Fee (Compulsory) AUD $55
Student Membership Fee (Compulsory) AUD $99
CMA Program Units - Examination Fee AUD $55 per unit
[ ] Strategic Cost Management (AUD $55) Exam date:___________
[ ] Strategic Business Analysis (AUD $55) Exam date:___________
[ ] -OR- Research Assignment (AUD $110)* Due date: ___________
(* Available as an alternative to the above two examinations to only to those
attending a CMA face-to-face program, and who have 10+ years experience)
Stage 4 GMA Students - Examination Fee AUD $55 per unit
[ ] Financial Modeling (AUD $55) Exam date:___________
[ ] Financial Management (AUD $55) Exam date:___________
[ ] Financial Statement Analysis (AUD $55) Exam date:___________
[ ] Managerial Accounting (AUD $55) Exam date:___________
Stage 3 for GMA Students - Examination Fee AUD $55 per unit
[ ] Financial Accounting (AUD $55) Exam date:___________
[ ] Marketing Management (AUD $55) Exam date:___________
[ ] Information Management (AUD $55) Exam date:___________
[ ] Strategic Management (AUD $55) Exam date:___________
Stage 2 for Advance Diploma Students - Examination Fee AUD $55 per unit
[ ] Financial Economics(AUD $55) Exam date:___________
[ ] International Business Law & Governance (AUD $55) Exam date:___________
[ ] Business Analysis & Audit (AUD $55) Exam date:___________
[ ] International Business Taxation (AUD $55) Exam date:___________
Stage 1 for CAT Students - Examination Fee AUD $55 per unit
[ ] Organizational Management (AUD $55) Exam date:___________
[ ] Accounting Principles and Practice (AUD $55) Exam date:___________
[ ] Accounting Control Systems (AUD $55) Exam date:___________
[ ] Financial Information Systems (AUD $55) Exam date:___________
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For Official Purposes Only
(Applicants do not complete)
Received On
_______________________________________________________________
Consideration On:
_______________________________________________________________
Ref No:
_______________________________________________________________
Part 4 UNDERTAKING THE PROGRAM EXAMINATION REGISTRATION
I am undertaking the below CMA Australia program/course
[ ] Certified Management Accounting study
[ ] GMA Conversion program study
[ ] Graduate Management Accounting study
[ ] Registered Business Administrator study
[ ] Registered Cost Accountant study
[ ] Certified Accounting Technician study
at (University or CMA Australia Recognized Provider Institution) ______________________________________________________________________________________________
in (country) ____________________________ during the month of ____________ of ___________ year, and my Student Id is ___________________________________________
Part 5 EDUCATION BACKGROUND (Compulsory)
(Academic and Vocational) Please list University and Post School qualifications either obtained or currently being undertaken that will fulfill the
educational requirements of the Graduate Member Program. These might include degrees, graduate diplomas, and any professional or qualifications)
NOTE:
CMA applicants - all students should have a degree or professional qualification in accounting or an MBA
GMA Conversion (Stage 4) applicants - all students should have a degree or professional Qualification in any field other than accounting
GMA applicants – Satisfactory completion of a High School Certificate (e.g. VCE, GCE, IB, SAT etc.)
Qualifications Institution Year Grade
1 _______________________________________________________________________________________________________________________________________________________________
2 _______________________________________________________________________________________________________________________________________________________________
(Please provide transcripts of Awards obtained)
Part 6 NON REFUNDABLE APPLICATION & EXAM FEE
I would like to pay the following
AUD $ 55 for Application fee
plus AUD $ 99 for Student Membership
plus AUD $___________ = _______ units x AUD $55
TOTAL AUD $___________ fees payable to CMA Australia by
[ ] Application fees paid to CMA Australia Recognised Provider Institution in local currency _________________________________________________________________
[ ] Bank Draft payable to - Institute of Certified Management Accountants (Aus)
Cheque Number __________________________ Bank __________________________________________________________________ Date_____________________________
[ ] MasterCard [ ] Visa
Card No. ____ ____ ____ ____-____ ____ ____ ____-____ ___ ____ ____-____ ____ ____ ____ Expiry Date _______________
Cardholder Name _______________________________________________________________ Signature ______________________________________________________
Part 7 ACCEPTANCE OF RULES
I ___________________________________________________________________________ (name) desire to become a student member with the CMA Australia. In the
event of my admission as a member, I agree to be bound by the Rules of the Institute of Certified Management Accountants for the time being in force.
Signature of Applicant _______________________________________________________________________________________________ Date _____________________________________
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Application Checklist
Duly filled form & application fees
Signatures (part 7)
CV (maximum 5 pages)
Copy of academic transcripts
Copy of membership certificates
Other supporting documents
The Executive Director,
The Institute of Certified Management Accountants
CMA House, Unit 5, 20 Duerdin Street,
Clayton North, Victoria 3168, AUSTRALIA.
Phone +61 (3) 85550358 Fax +61 (3) 85550387
Email: [email protected] Web: www.cmawebline.org
Send all applications by fax, scan
& email, or mail to:
CMA Australia Head Office
or
Any of our Recognised Provider
InstitutionsCM
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