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Please enter your name exactly as you wish it to appear on your Certificate of Membership. |
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If unemployed please enter N/A here |
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| Employment Sector*: |
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| If unemployed please enter N/A here |
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If you have no previous employment, please input N/A for all employment fields with an asterisk(*). |
| Employment Sector*: |
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| If you have no previous employment, please input today's date. |
| If you have no previous employment, please input today's date. |
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| May CPA Ireland take up references from previous employers?*: |
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Includes all degrees, diplomas and certificates of higher or further education. Pleasestate the nature of the qualifications, the educational establishments which issued them, and the dates passed or conferred. |
| Q1 Have you ever been engaged in or are you engaged in a civil litigation?*: |
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| Q2 In the past 10 years have you failed to satisfy any judgement?*: |
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| Q3 In the past 10 years have you made any compromises or arrangements with your creditors?*: |
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| Q4 In the past 10 years have you ceased trading whether as a sole trader or a partner in circumstances in which creditors did not receive full payment?*: |
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| Q5 In the past 10 years have you been declared bankrupt?*: |
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| Q6 Have you ever been subject to an order from a regulatory body?*: |
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| Q7 Have you ever been convicted of any criminal offence in a civil or military court in Ireland or elsewhere?*: |
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| Q8 Have you been refused entry to, or have you at any time ceased to be a member of any profession or vocation?*: |
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| Q9 Have you ever been dismissed or requested to resign from any office or employment or position of trust?*: |
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| Q10 Has anybody made written complaints relating to services or activities provided by your business during the past twelve months?*: |
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| Q11 In the last ten years have you been the director of a company which has gone into liquidation or receivership, had an administrator appointed or entered into any arrangements with its creditors either while you were a director or within three years following your ceasing to be a director?*: |
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| Q12 Are you aware of any allegations of negligence involving you which have been formally notified to you or to your employer’s insurers in the last 10 years?*: |
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If "Other Accountancy Body" selected, please specify name of accountancy body here |
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If "Other Accountancy Body" selected, please specify name of accountancy body here |
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| FORMAL APPLICATION FOR MEMBERSHIP To the Council of the Institute of Certified Public Accountants in Ireland I hereby apply for admission to Associate Membership of the Institute of Certified Public Accountants in Ireland. I warrant, if admitted, that as long as I remain a member of the Institute, I will observe all the Articles, Bye-Laws, rules and regulations of the Institute made from time to time by the Council. I have read the Articles, Bye-Laws, and Code of Professional Ethics, Conduct and Practice supplied to me with the application form and understand the obligations imposed on me by them. I warrant that I have truthfully and fully answered the questions in Sections A to D. I hereby authorise the Institute of Certified Public Accountants in Ireland to take up such references and make such enquires as are necessary to consider this application.*: |
On approval by the Council of the Institute of the application for CPA membership each member pays an annual subscription which is determined by the Council each year. |
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