APPLICATION FOR REINSTATEMENT OF MEMBERSHIP

APPLICATION FOR
REINSTATEMENT OF MEMBERSHIP
IMPORTANT NOTICE
Please read the following notes before completing the application form:
i.
In accordance with the Institute (Membership and Fees) Rules, a former member who was
removed from ISCA register due to non-payment will have to apply for reinstatement of
membership on or before 31 December of the year of removal. A reinstatement fee of $107
(including GST) together with the annual subscription fee and a late payment fee of $32.10
(including GST) will be payable. The Council shall have the discretion to accept or refuse any
application for reinstatement.
Fee
Amount including GST
Reinstatement fee
$107.00
Late payment fee
$32.10
Outstanding annual subscription
$149.80 per year (Associate)
$299.60 per year (CA (Singapore))
ii.
Goods & Services Tax (GST) will be applicable for members residing in Singapore. For zerorated GST to apply, members residing overseas must tick to declare that they are residing
overseas at the point of payment. For non-declaration, standard rated GST will apply.
iii.
The Institute may request for any other supporting documents required to assess the
application.
iv.
Please send the duly completed form and all necessary documents to membership@isca.org.sg
or 60 Cecil Street, ISCA House, Singapore 049709.
1. PERSONAL PARTICULARS
Name:
IC/Fin/Passport No:
Nationality:
Singapore PR:
Mobile Phone:
-Yes
-No
-NA
Home Phone:
Email:
Home Address:
Please tick if you are residing
overseas:
I declare that I am residing
overseas
Company:
Position
Company Email:
Date Joined: __ __/__ __/__ __
Company Phone:
Revised – 26 May 2015
2. CPE COMPLIANCE
This section is applicable to CA (Singapore) only.
All CA (Singapore), including Fellow but excluding Members-in-retirement, must attain at least 120
CPE hours per triennium, of which at least 20 are verifiable CPE hours including 2 hours of compulsory
ethics per year. The CPE year is from 1 January to 31 December.
Please tick the relevant box:
I have complied with ISCA CPE requirements
I have not complied with ISCA CPE requirements
Please state reason: ______________________________________________________________________________
3. CREDIT CARD AUTHORISATION
I, hereby authorize ISCA to charge the amount stated below to my credit card.
Credit Card:
VISA
MasterCard
AMEX
Credit Card No:
__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
CVV No.:
__ __ __ __
Card Expiry Date:
__ __ / __ __ (MM/YY)
Cardholder’s Name:
_______________________________________________________________________________
Cardholder Signature: _______________________________________ Amount: S$ ____________________
CVV is a security feature to help verify that an individual is in possession of the credit card. For
Visa/Mastercard, it is the last 3 digits at the back of your card. For Amex, the 4-digit CVV number is printed on
the front of the card above the card account number.
4. PREFERENCES
Communication on Renewal Notice:
IS Chartered Accountant Journal:
Email only
e-Journal only
Letter
Hardcopy
Please note that the hardcopy letter and/or Journal will not be sent to you once you have selected the email
and/or e-Journal only option.
Revised – 26 May 2015
5. DECLARATION
Please answer the following questions by ticking where appropriate. For any “Yes”, please provide details in
the space below. Please attach a separate sheet if more space is required.
(i)
Have you ever been convicted of any criminal offence?
(ii)
Have you ever been adjudged a bankrupt or made any
assignment for the benefit of your creditors?
(iii)
(iv)
Have you ever been a subject of any investigation by
governmental, statutory or professional in respect of any offence
involving dishonesty or any complaint for professional misconduct?
Have you been refused entry to any professional body or have
your membership or registration with such body terminated or
suspended?
Yes
No
Yes
No
Yes
No
Yes
No
________________________________________________________________________________________________________
________________________________________________________________________________________________________
ISCA Privacy and Data Protection Policy
The Institute seeks to collect and may use and/or disclose your personal data for matters relating to your
membership and/or the conduct of the Institute’s business in accordance with the Personal Data Protection
Act 2012. The Institute may from time to time use your personal data to inform you of related news, CPE
activities, members’ benefits, goods, services, facilities and events. The Institute may also use your personal
data for the conduct of statistical research and studies, and analyse the data collected to administer, develop
and improve its services.
By accepting membership with the Institute and/or participating in any events or activities organized by the
Institute (including any purchases of goods and services from the Institute), you consent to the collection and
use of your personal data in accordance with the ISCA Privacy and Data Protection Policy at
http://corp.isca.org.sg/privacy-policy. You can withdraw your consent for certain future actions at any time at
http://www.isca.org.sg/withdrawal-of-consent.
I declare that I have read and understand the Singapore Qualification Programme (Singapore QP)
Transitional Arrangements applicable to myself. I agree to be bound by the membership rules relating
to the admission of Chartered Accountants of Singapore, as may be amended, modified or
supplemented from time to time by the Institute.
I understand that upon Council’s approval of my application, I shall observe and abide by the Rules of
the Institute.
By submitting this form, I agree with the above statements, unless stated otherwise, and my
personal profile and information is true and complete to the best of knowledge and belief.
Signature: ________________________________________________
Date: __________________________
Revised – 26 May 2015