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Become A Student
Amalgamation Guidance and Support
Current Students
Syllabus & Study Support
Study Guides
Examinations
Online Exams
Concessionary Sittings
Data Analytics for Finance
Training and Admission to Membership
Admission to Membership
Training Requirements
Information for Mentors
Student Information
Student Fees
Key Dates
Professional Ethics
CPA Student Webinar Series
Educator Information
Careers Portal
Amalgamation Information for Students
Resources
Amalgamation Member Information Portal
CPA Publications
Accountancy Plus
Members e-Bulletin
Students e-Bulletin
Practice Plus/Audit Bulletin
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Current Students
Training and Admission to Membership
Declaration Form
First Name:
Last Name:
Date of Birth:
Calendar
Today
CPA Student Number:
Email:
1. Have you ever been engaged in or are you engaged in a civil litigation?:
Yes
No
2. In the past 10 years have you failed to satisfy any judgement?:
Yes
No
3. In the past 10 years have you made any compromises or arrangements with your creditors?:
Yes
No
4. 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?:
Yes
No
5. In the past 10 years have you been declared bankrupt?:
Yes
No
6. Have you ever been subject to an order from a regulatory body?:
Yes
No
7. Have you ever been convicted of any criminal offence in a civil or military court in Ireland or elsewhere?:
Yes
No
8. Have you been refused entry to, or have you at any time ceased to be a member of any profession or vocation?:
Yes
No
9. Have you ever been dismissed or requested to resign from any office or employment or position of trust?:
Yes
No
10. Has anybody made written complaints relating to services or activities provided by your business during the past twelve months?:
Yes
No
11. 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?:
Yes
No
12. 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?:
Yes
No
If you have answered yes to any of the previous 12 questions please give details below: