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CPA PROFESSIONAL EDUCATION PROGRAM July 2020 REGISTRATION – Elective 2 FOR APPLICANTS IN CHINA This registration application is used for international applicants applying for registration to CPA PEP Core Modules with the Chartered Professional Accountants of Canada. Applicants must have a completed transcript evaluation report and meet the applicable prerequisite requirements in order to be successfully registered. For questions relating to this form, please contact [email protected]. Date of Submission (mm/dd/yyy): Privacy Statement: The information collected by this form is used for the purposes of registration. The personal information collected is treated in accordance with the CPA Privacy Policy. Module Prerequisite(s) Deadline PEP Elective 2 PEP Elective 1 June 4, 2020 CPA PEP CANDIDATE REGISTRATION The Secureclient Licenscing Fee must be paid in full at the time of registering for your first CPA Course. The CPA Secure client Licensing fee is 100% non-refundable. For PEP, DISC workplace profile for future modules,including grouping and etc. Securexam Licensing Fee: $150.00 CAD DISC Profile: $40.00 CAD This is my first CPA Canada module, $190.00 CAD I have already paid Secureclient Licensing Fee Choose an Exam Center: Other (please specify): PERSONAL INFORMATION CPA Canada ID: Mrs. Miss Ms. Date of Birth (mm/dd/yyyy): Surname: Country of Residence: Title (Please select one): Mr. First Name: Former Legal Name: (name under which university degree was gained, if different from the name noted above) Preferred Mailing Address: City/Parish: Region/State: Preferred Telephone: Alternate Telephone: Postal Code/Zip Code Preferred Email: Alternate Email:

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Page 1: CPA PROFESSIONAL EDUCATION PROGRAM July ......2020/05/18  · This registration application is used for international applicants applying for registration to CPA PEP Core Modules with

CPA PROFESSIONAL EDUCATION PROGRAM July 2020 REGISTRATION – Elective 2

FOR APPLICANTS IN CHINA

This registration application is used for international applicants applying for registration to CPA PEP Core Modules with the Chartered Professional Accountants of Canada. Applicants must have a completed transcript evaluation report and meet the applicable prerequisite requirements in order to be successfully registered. For questions relating to this form, please contact [email protected].

Date of Submission (mm/dd/yyy):

Privacy Statement: The information collected by this form is used for the purposes of registration. The personal information collected is treated in accordance with the CPA Privacy Policy.

Module Prerequisite(s) Deadline

PEP Elective 2 PEP Elective 1 June 4, 2020

CPA PEP CANDIDATE REGISTRATION

The Secureclient Licenscing Fee must be paid in full at the time of registering for your first CPA Course. The CPA Secureclient Licensing fee is 100% non-refundable. For PEP, DISC workplace profile for future modules,including grouping and etc. Securexam Licensing Fee: $150.00 CADDISC Profile: $40.00 CAD

This is my first CPA Canada module, $190.00 CAD

I have already paid Secureclient Licensing Fee

Choose an Exam Center:Other (please specify):

PERSONAL INFORMATION CPA Canada ID:

Mrs. Miss Ms. Date of Birth (mm/dd/yyyy):

Surname:

Country of Residence:

Title (Please select one): Mr.

First Name:

Former Legal Name: (name under which university degree was gained, if different from the name noted above)

Preferred Mailing Address:

City/Parish: Region/State:

Preferred Telephone:

Alternate Telephone:

Postal Code/Zip Code

Preferred Email:

Alternate Email:

Page 2: CPA PROFESSIONAL EDUCATION PROGRAM July ......2020/05/18  · This registration application is used for international applicants applying for registration to CPA PEP Core Modules with

MODULE SELECTION

Module Start Date (2020)

Module Workshop

Orientation Workshop

Final Exam

Cost $CAD

PEP Elective 2 Jul.25, 2020 N/A Aug.15-16, 2020 Sep.23,2020 $1200.00

REFUND POLICY

Voluntary module or exam withdrawal requests must be made in writing to [email protected]. Refunds, less a 10% administration fee, are issued for module withdrawal requests if the written request is received prior to the official module start date. No refunds are issued for requests received on or after the official start date. Please note that the official module start date takes place up to one week before the first class. Candidates may defer to a later offering of a module, subject to approval. Only one deferral per module may be granted. Deferral requests must be made in writing. A fee equal to 25% of the module cost will apply. Module exam and annual candidate registration fees are 100% non-refundable. Candidates who leave the program voluntarily can re-register based on the requirements at the time of re-entry. Prerequisite courses and professional education program modules previously completed will be evaluated for current relevance. Any additional module requirements will need to be met.

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I declare that the above information and all other information given in this application is true and correct.

Full name of Applicant: Signature: Select checkbox to indicate a digital signature

SUBMISSION

Complete and save this form electronically, and submit to [email protected].

Consent for Commercial Electronic Messages:In compliance with Canada's Anti-Spam Legislation (CASL), please indicate if you give CPA Canada your consent to contact you via email for updates and opportunities related to the CPA certification path.

Yes, I provide my consent

PAYMEMT INFORMATION

Total fee remitted to CPA Canada for CPA PEP:$ CAD

Select a Payment Method:

Alipay/Wechat Pay: To use this option, please scan the QR code and

leave your full legal name and Student ID

(if available) in the payment confirmation page.