CGA Mutual Recognition Agreement
Initial Application for CPA Australia Members
PERSONAL INFORMATION
Date of Birth: M__________ D__________ Y__________ Gender: Male Female
Mr. Mrs. Miss Ms. CPA FCPA
First Name: __________________________________________ Initial: ________ Surname: __________________________________
Preferred Name: ______________________________________
Home Address: ______________________________________________________________ City: ________________________________
Province: ____________________________ Country: ____________________________ Postal Code: __________________________
Home Phone: ( ) ______________________________ Home E-mail Address: ________________________________________
This is my preferred mailing address (please tick)
CPA Australia Membership Number: ________________________________ Date Admitted by CPA Australia: __________________
Degrees or designations (other than CPA): ____________________________________________________________________________
Institution: ________________________________________________________________________________ Date: __________________
Degrees or designations (other than CPA): ____________________________________________________________________________
Institution: ________________________________________________________________________________ Date: __________________
Citizenship status for applicants residing in Canada:
Canadian Citizen Permanent Resident Visa Applicant (attach supporting documents) Other
EMPLOYMENT INFORMATION
Your Employer’s Name: ______________________________________________________________________________________________
Your Job Title: ______________________________________________________________________________________________________
Your Employer’s Address: ____________________________________________________ City: ________________________________
Province: ____________________________ Country: ____________________________ Postal Code: __________________________
Work Phone: ( ) ______________________________ Work E-mail Address: __________________________________________
This is my preferred mailing address (please tick)
Are you offering any public accounting services in Canada? Yes No
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CGA Mutual Recognition Agreement
Initial Application for CPA Australia Members
DECLARATION
In providing personal information on this form (and any other information collected and maintained in the course of the
application process) and signing the document I consent to its use for the purposes of:
1) regulating applicants in accordance with the provisions of the provincial or national Act incorporating the CGA association,
association by-laws, and the Code of Ethical Principles and Rules of Conduct;
2) admission to membership;
3) processing payments; and
4) exchanging membership status information, including the disclosure of confidential disciplinary investigation and
sanctions with CPA Australia.
Have you ever been convicted of any criminal offence(s) in any jurisdiction? Yes No (if yes, please attach details)
At present, do you have any criminal charges outstanding in any jurisdiction? Yes No (if yes, please attach details)
Have you ever had a finding of unprofessional conduct or similar finding
made against you by any professional organization? Yes No (if yes, please attach details)
Are you presently the subject of any outstanding complaints or discipline
matters with any professional organization with which you are or ever Yes No (if yes, please attach details)
have been registered?
Have you ever been found guilty of contravening a section of securities
regulatory or taxation authority legislation in any jurisdiction? Yes No (if yes, please attach details)
Have you ever been declared bankrupt or are you currently the subject
of a bankruptcy proceeding? Yes No (if yes, please attach details)
The applicant is responsible for ensuring the accuracy of the information contained in this application. Failure to comply with
this requirement may lead to termination of membership in the Association.
I acknowledge that under the terms of the MRA, admission to the Association requires that I continue to be a member
in good standing with CPA Australia.
I also acknowledge that I am required to meet the Association’s Entry to Public Practice requirements in the jurisdiction
of residence or practice in order to offer public accounting services.
I certify that all statements on this application are true and correct.
Signature: ______________________________________________________________ Date: __________________________________
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CGA Mutual Recognition Agreement
Initial Application for CPA Australia Members
CHECKLIST FOR SUBMITTING APPLICATIONS
Attachments to the Initial Application Form
1) • Membership Status Letter
• CV (If required)
Documentation to be provided after submission of the initial application:
1) Official sealed transcript of your degree provided directly by the institution to the appropriate Association office
2) Certificate of completion of the CGA Overview of Canadian Income Tax and Law course available on completion of the
online course. This is to be provided directly by the applicant. Applicants claiming a transfer credit from the course are
required to provide an official sealed transcript showing completion of an acceptable equivalent course from a Canadian
post-secondary institution. Transcript to be provided directly by the post-secondary institution to the appropriate
Association office.
3) Letter of completion of the Professional Applications Reciprocity Evaluation (PARE) course. This is to be provided directly
by the applicant. Applicants claiming a transfer credit from the course are required to provide an official sealed transcript
showing completion of an acceptable equivalent course from a Canadian post-secondary institution. Transcript to be
provided directly by the post-secondary institution to the appropriate Association office.
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CGA Contact Information
FOR INTERNATIONAL RESIDENTS
CPA Members who are CPA Members who are
NOT residents of Canada residents of Hong Kong
or Hong Kong CGA-Hong Kong
CGA-Canada International Unit A, 10/F
800-1188 W. Georgia Street 211 Johnston Road
Vancouver BC V6E 4A2 Wanchai HK
mracga@cga-canada.org info@cgahk.org.hk
FOR RESIDENTS OF CANADA
CPA Members who are CGA-New Brunswick CGA-Ontario
residents of Canada Commerce Building 240 Eglinton Avenue East
Contact the provincial office P.O. Box 1395 Toronto ON M4P 1K8
where you reside 10-236 St. George Street T (416) 322-6520
Moncton NB E1C 1W1 F (416) 322-6481
CGA-Alberta T (506) 857-0939 info@cga-ontario.org
Suite 100, 325 Manning Road NE, F (506) 855-0887
Calgary, AB, T2E 2P5 CGA-Prince Edward Island
T (403) 299-1300 CGA-Newfoundland & Labrador P18 Queen Street, Suite 105
F (403) 299-1339 294 Freshwater Road, Suite 201 Charlottetown PEI C1A 4A1
MemberService@cga-alberta.org St. John’s NL A1B 1C1 T (902) 368-7237
T (709) 579-1863 F (902) 368-3627
CGA-British Columbia F (709) 579-0838
300-1867 West Broadway CGA-Saskatchewan
Vancouver BC V6J 5L4 CGA-NWT/Nunavut 114-3502 Taylor Street East
T (604) 732-1211 P.O. Box 128, 3rd Floor Saskatoon SK S7H 5H9
F (604) 732-1252 5016 50th Avenue T (306) 955-4622
cpainfo@cga-bc.org Yellowknife NT X1A 2N1 F (306) 373-9219
T (867) 873-5620
CGA-Manitoba F (867) 873-4469 CGA-Yukon Territory
4 Donald Street South P.O. Box 31536
Winnipeg MB R3L 2T7 CGA-Nova Scotia Whitehorse YT Y1A 6K8
T (204) 477-1256 1801 Hollis Street, Suite 222 T (867) 668-4461
F (204) 453-7176 Halifax NS B3J 3N4 F (867) 667-5790
info@cga-manitoba.org T (902) 425-4923
F (902) 425-4983
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