CIPFA Affiliate membership (counter fraud) application form

Please complete this form to apply for CIPFA Affiliate membership (counter fraud). Your application will take four to six weeks to process and we will get in touch with you when the process is completed.
PLEASE USE BLOCK CAPITALS
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COMPETENCE AND FITNESS

I hereby apply for membership of the Chartered Institute of Public Finance & Accountancy (CIPFA) and undertake to;
(a) Observe the provisions of the Supplemental Charter and of the Bye-Laws and Regulations of CIPFA
(b) Observe the ethical and technical guides to conduct, principles or rules established or approved by CIPFA
(c) Provide promptly and willingly such cooperation and assistance, as I am able, if asked to do so by CIPFA in pursuance of its duties

I hereby certify that

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Are there any matters reflecting your competence or fitness of which the Institute ought to be aware?

This includes, but is not limited to
  • Being charged with an offence which has not yet come to trial
  • Failure to satisfy a judgment debt
  • An adverse finding against you by a professional body or regulator
  • Any act or default which prejudicially affects the status, reputation or welfare of CIPFA
  • Any act or default likely to bring discredit upon you, your employer, the Institute or the profession of accountancy
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Have you ever been disqualified as a Director anywhere in the world?

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Have you been declared bankrupt anywhere in the world?

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Have you ever undertaken an Individual Voluntary Arrangement or the equivalent in jurisdictions other than the UK between you and creditors to repay debts on a formal basis?

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Have you entered into a composition with creditors or a deed of arrangement for the benefit of creditors in the UK or entered into equivalent arrangements outside the UK?

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Have you ever been subject to any form of disciplinary proceedings in connection with either your employment or your membership of a professional body?

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CURRENT EMPLOYMENT DETAILS
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OTHER INFORMATION
You are under no obligation to supply the information sought here, but your co-operation is appreciated. CIPFA recognises the sensitivity of this information, which will be used for monitoring and statistical purposes only.
DATA PROTECTION
I would like to receive emails about CIPFA products, services and events.

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Membership communications are dispatched to each member's registered email address. I am happy to receive these notices in this way.

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I would like to receive emails from carefully selected partner organisations that can support the public sector.

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I would like to receive emails for the purposes of market research which will enable to us to better market our products and services.

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