cgpa honorary membership

    HONORARY MEMBERSHIP APPLICATION FORM

    PART 1 PERSONAL INFORMATION

    Title: (Dr/Mr/Mrs/Ms/Miss/Other)*

    First Name*

    Middle Name*

    Last Name*

    Date of Birth (mm/dd/yyyy)*

    /

    /

    Gender:*

    PART 2 CONTACT INFORMATION Mailing Address - This is my

    Address Line 1:*

    Address Line 2:

    Barangay*

    City*

    State/Province*

    Postcode*

    Country*

    Home Phone

    Mobile*

    Email*

    PART 3 PRESENT OR MOST RECENT EMPLOYMENT

    Employer Name*

    Date Employed*

    Employer's Address*

    Post Held/Current Occupation/Situation*

    PART 4 INDUSTRY & COMPANY SIZE*

    Number of Employees*

    HONORARY MEMBERSHIP APPLICATION FORM

    PART 5 EDUCATION BACKGROUND

    (Academic and Vocational) Please list University and Post School courses/qualifications either obtained or currently being undertaken that will fulfill the educational requirements of the Graduate Member Program. These might include degrees, graduate diplomas, and any professional or other relevant qualifications

    Format: Degree / Qualifications - Institution - Year - Specialization*

    1.

    2.

    3.

    4.

    5.

    PART 6 PROFESSIONAL INTERESTS*

    PART 7 OPTIONAL TESTIMONIAL FOR PUBLIC USE

    As an Honorary CGPA recipient, we would be honored to feature your thoughts on this recognition. Please share a brief testimonial (1–2sentences) about what receiving the CGPA means to you, your career, or the accounting profession.

    Sample:"Being recognized as a CGPA affirms my commitment to global professional standards and inspires me to continue contributing to the field of accountancy."

    Your Testimonial

    I consent to the use of this testimonial (with my name and title) on CGPA marketing materials, including the website brochures, and social media

    HONORARY MEMBERSHIP APPLICATION FORM

    PART 8 DATA PRIVACY

    Upon signing this form you are agreeing that the personal data obtained from the registration form entered and stored within the Institute's authorized information and communications system and will only be accessed by the CGPA authorized personnel. Furthermore, the information collected and stored in this form shall only be used for the following purposes:

    • Announcements / promotions of events, programs, courses and other activities offered / organized by the Institute and its partners;

    • Activities pertaining to establishing relations with participants/members/alumni;

    • CGPA has the right to share your information to our related affiliate companies, institutions, and or subsidiaries;

    • CGPA Philippines shall not disclose the participants/members/alumni personal information without their consent and shall retain this information over a period of ten years for effective implementation, research analytics, and management.

    PART 9 ACCEPTANCE OF SUBSCRIPTION

    I declare that all of the information contained in this application is true and correct and I agree to provide any supporting documentation requested by the Institute. If accepted, I agree to abide by the Association of Global Professional Accountants’ Code of Professional Conduct and Continuing Professional Education requirements. I understand that I must renew my subscription annually to enjoy the services provided by the Institute including eligibility privileges and retention of professional designation.

    Digital Signature*

    Date: *

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