Application for CMA Certification for IAMI’s CPMA
Members
1. PERSONAL DETAILS:
Title: (Dr/Mr/Mrs/Ms/Miss/Other) ____
Last Name: _____________________________________________ First Name(s): ___________________________________________ Date of Birth (dd/mm/yy) __________________
Postal Address:
Number & Street: __________________________________________________ Suburb & City: _________________ Postcode________Country: _____________
Telephone: Home: ( ) Work: ( ) Mobile: ( ) Email Address: _____________________________________________
2. IAMI’s CPMA MEMBERSHIP DETAILS:
IAMI Membership Number: ________
Qualification Details: □ CPMA membership □ Doctorate in Accounting □ S2 Degree in Accounting □ S1 Degree in Accounting
Experience Summary: □ 15 years or more □ 10-15 years □ 5-10 years □ 3-5 years
[Please provide a Letter of Good Standing from IAMI]
3. CERTIFICATION COURSE DETAILS:
‘Strategic Business Analysis’ course module:
Completed at [Provider University or Institution]: __________________________ ___________________________ Month & Year: _________
[Please provide Certificate of Completion from Provider]
Note: The Fees for the Strategic Business Analysis (SBA) Education Program is paid direct to the University or Regional Office or Online provider. This application form must be filled AFTER you complete this program (if Required).
Direct Membership: Direct CMA certification is only open to IAMI Indonesia CPMAs:
• With 15 or more than 15 years relevant working experience; or
• With minimum 10 years relevant working experience and holding minimum of a master degree in accounting or business (Maksi or Magister Manajemen) or holding a doctoral degree in accounting and have taken the CPMA examinations.
Education Program: Other categories of IAMI Indonesia CPMAs have to complete the ‘Strategic Business Analysis’ course module (4-days intensive) and have at least 5-years of senior business experience to be eligible to be admitted as full certified members (CMAs) of ICMA. Cost of program (via University or Regional Office or Online) is approximately Rp 10,000,000.
Assessments: The assessments required for the module will be dependent on work experience as follows:
• Those with 10 to 15 years working experience will have no further assessments
• Those with 5 to 10 years working experience will need to pass an assignment set by ICMA.
• Those with 3 to 5 years working experience will be admitted as Associate Members (AMAs) and need to pass a
3-hour examination set by ICMA, and accumulate 5-years’ experience.
Fees:
4. EMPLOYMENT DETAILS:
Employer's Name: _______________________________________
Employer's Address: _____________________________________________ _____________________________________________ _____________________________________________ Post Held/Current Occupation/Situation: _____________________________ Date of Appointment: _____________________________________________
5. EDUCATION:
Please provide copy of testamur or transcript of academic or professional qualifications in accounting, and your IAMI CPMA certification and transcripts.
6. WORK EXPERIENCE:
Please provide copy of curriculum vitae of at least 5-years of business, public administration or academic experience in any business related field (e.g. Accounting, Banking, Finance, Marketing, Law, Management etc.)
7. ACCEPTANCE OF RULES:
In the event of my admission as a CMA 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 _________
_________________________________________________________________
For Official Purposes Only (Applicants do not complete)[ ] Application Received On: _____________________________
[ ] CMA (for CPMAs) Membership Consideration On: ___________________ [ ] Approved- Certification No: _______________
[ ] Not Approved- Reason: __________________ t ] Applicant Informed of Decision On: ___________ [ ] Invoiced/Receipt On: __________________________
CERTIFICATION FEES: Payment Options
Payment in AUSTRALIAN DOLLARS:
□
By Bank Draft made payable to the Institute of Certified Management Accountants (in AUD)□
By Credit Card. Please tick one the following credit cards (only):□
Visa□
MasterCardCard Number
Cardholder’s Name: ______________________________________
Expiry Date: __________________
□
Joining Fee (once-off) (for CPMAs to CMAs or AMAs only) AUD$ 600□
AMA Membership fee (annual) (for CPMAs to AMAs only) AUD$ 99□
CMA Membership fee (annual) (for CPMAs to CMAs only) AUD$ 110Total Amount: ______________________
