DOC

coursesexaminations(1)

By Willie Knight,2014-08-28 01:52
14 views 0
coursesexaminations(1) ...

    ?CIIA Final Examination

    Application for Registration Form (IR-1)

     Please read the ACIIA/ HKSI CIIA FINAL EXAMINATION - Registration and Enrolment Guidelines (the FOR OFFICE USE ONLY Guidelines) carefully before completing this form. Please complete legibly the relevant parts in BLOCK Receipt No. : ______________________ LETTERS and in BLACK or BLUE INK. All Information provided in this form will be used by the HKSI for purposes relating to the performance of HKSI’s, Candidate No. : ____________________ SCOPE of the City University of Hong Kong’s (if applicable), and ACIIA’s administration functions, including the administration of their courses/examinations. The provision of personal data by means of this form is voluntary. Term Enrolled: __________________ (A / R / P) Please read “Appendix A - Notice Relating to the Personal Data (Privacy) Ordinance” of the Guidelines.

     Please refer to section VI Entry Requirements” of the Guidelines before completing this form. Please select ONLY one of the routes below for registration as a CIIARegistered Candidate “CIIA Candidate” by putting a “;” in the appropriate . 1. The DPE / PDFM Route ? I have completed all 3 Papers of the HKSI Diploma Programme Examination, or all 7 Modules of the HKSI Professional Diploma in Financial Markets. (Date of completion [mm/yyyy]: ___________________). Please complete Parts 1, 4 and 5. ? I have completed Papers 1 and 3 of the HKSI Diploma Programme Examination, or Modules 1, 2, 3, 6 and 7 of the HKSI Professional Diploma in Financial Markets. Please complete Parts 1, 4 and 5. 2. The EQC Route ? I am currently an Ordinary Member (MHKSI) / Fellow (FHKSI) / Honorary Fellow (FHKSI (Hon)) of the HKSI. Please complete Parts 1 to 5. ? I wish to submit the education/professional/employment qualifications listed in Part 2 below for the purposes of registration. Please complete Parts 1 to 5.

    PART 1: Personal Particulars (* Please delete where inappropriate.)

    ? Mr. ? Miss ? Mrs. ? Ms. Title HKSI Membership No.

     中文姓名(Chinese Name) Surname

     Nationality Other Name

     Place of Birth HKID Card / Passport No.*

     / / Daytime Contact Tel No. Date of Birth (dd / mm / yyyy)

     Mobile Phone/Pager No.* Home Tel. No.

     Fax No. Email Address

     Home Address

     ? Hong Kong ? Kowloon ? New Territories ? Overseas

     Company Address

     ? Hong Kong ? Kowloon ? New Territories ? Overseas

     Please send all correspondence to my: ? Home Address ? Company Address

PART 2: Education / Professional Qualification / Employment

    Education (Please give details of your tertiary education or above only. Please attach copies of certificate(s) and official transcripts, syllabuses or

    accompanying papers, or other supporting documents.)

    Qualification(s) Obtained Date of Award School, College or University Attended (Certificate, Diploma, Degree, Master, etc. In the case of a degree, please (mm/yyyy) specify classification and field of study.)

     Form IR-1 06/2010

Professional Qualification (Please attach copies of certificate(s), or other supporting documents.)

    Qualification(s) Obtained Date of Award Awarding Body (Certificate, Diploma, Designation, etc.) (mm/yyyy)

Employment (Please give details of your recent employment only.)

    Commencement Date Name of Employer and Nature of Business Title of Position Held Nature of Duties (mm/yyyy)

PART 3: Referee

    Please give details of one person who is able and willing to comment on your suitability to take the CIIA Final Examination; preferably this person should

    have knowledge of your academic and/or professional qualifications or employment experience (as listed above).

     Name Position

     Organization Contact Tel. No.

     Address

    PART 4: Payment (Candidate registration fee: HK$950) CASH / EPS Please submit this form and pay the fee at the HKSI counter. Please do not send cash by post.

    BANK DEPOSIT Required registration fee(s) in cash (Hong Kong Dollars only) should be deposited into our Hang Seng Bank account (Account No.: 207-002288-668 / Account Name: Hong Kong Securities Institute). Please write your English full name, the examination for which you Bank Deposit Form No.; are registering and your daytime contact telephone number on the back of the bank deposit form. ________________

    Please make a crossed cheque payable to the Hong Kong Securities Institute. Post-dated cheques will not be accepted. Please write your English full name, the examination for which you are registering and your daytime contact telephone number on the back of the crossed cheque. COMPANY CHEQUE Cheque no.: ____________________ Bank Name:___________________________________________

     VISA Card Name of Card Holder; Expiry Date; CREDIT CARD (Card holder must be the applicant) Master Card

     American Express __________________________________________________ mm / yy Card

    Please charge payment to credit card Credit Card No.

     _______________________________________________________________ Date: ___________________________ Signature of Card Holder: (The signature must match with the one on your credit card.)

    PART 5: Declaration I confirm that I understand that if the details I have submitted in this form are inaccurate or incomplete, my registration may not be accepted by the Hong Kong Securities Institute (HKSI) / Association of Certified International Investment Analysts (ACIIA) even though payment of the candidate registration fee has been made; and that I have read, and I accept and understand the “ACIIA / HKSI CIIA FINAL EXAMINATION - Registration and Enrolment Guidelines”; and I understand that all the fees paid are non-transferable and non-refundable except for the partial refund to those applicants who are unsuccessful in registering as a CIIA Candidate. I hereby apply to register as a candidate of the CIIA Final Examination in Hong Kong and undertake, if registered, that so long as I remain a Registered Candidate of the ACIIA, I shall observe and abide by the rules and regulations prescribed by the ACIIA and the HKSI.

Signature of Applicant _______________________________ Date _________________________

    Form IR-1 06/2010

Report this document

For any questions or suggestions please email
cust-service@docsford.com