Aapa Reinstatement App

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Application or reinstatement to membership o

the Association o Authorised Public Accountants

2010

Please return this orm to: Customer Services ACCA 2 Central Qua 89 Hepark Street Glasgow G3 8BW Unite KingomContact etails: ACCA Connect tel: +44 (0)141 582 2000 e-mail: [email protected]

All ormer members seeking reinstatement must pay the current years subscription and the reinstatement ee. I you were struck o or non paymento the annual subscription you will also be required to pay all outst anding back subscriptions. I you ormally resigned with no ees outstanding in your

account, and your resignation was accepted by Council, you are not required to pay subscription ees or the period you were o the register. Pleasereer to page 5 or conrmation o ees. I you are uncertain o the ull amount due by you please contact ACCAs trained advisors at ACCA Connect,details below. Alternatively, you may wish to write to ACCA, the address details are also conrmed below.

An individual excluded rom the register on disciplinary grounds or due to bankruptcy may, in addition to completing this orm and paying all ees due,be asked to supply character reerences and may be subject to the preparation o a report by an ACCA approved practitioner on his/her conduct in theperiod since his/her exclusion, or which an additional ee may be payable. Applicants may also be required to pass urther examinations and/or tests

and be subject to urther conditions or reinstatement. Advice on these procedures will be given on receipt o this orm.

An applicant or reinstatement who is in public practice (whether on a ull-time or spare-time basis) as the principal o a rm must submit an

application or a non-statutory practising certicate with this orm.

Please use BLOCK CAPITALS and black ink throughout.

I,

hereby apply or reinstatement to membership o the Association o Authorised Public Accountants (AAPA).

I undertake that, i re-admitted, I will, so long as I remain a member or afliate o AAPA, comply with the bye-laws and all other regulations o AAPA or

the time being in orce.

I urther under take that I will use the designation Authorised Public Accountant and/or the prescribed designatory letters AAPA or FAPA only while I

remain a member o AAPA.

I acknowledge my duty to the public to ensure that the quality o my knowledge and service is maintained ater re-admission to membership. I thereore

accept my responsibility to undertake adequate continuing proessional development as directed by Council rom time to time.

I conrm that I have read and ully comprehend the content o AAPAs bye-law 50 and that there is nothing which I should bring to AAPAs attention

at the present time. Please note that the UK Rehabilitation o Oenders Act 1974 does not apply to the accountancy proession. You are, thereore,required to disclose spent convictions.

I declare that the inormation contained in this application is true, accurate and complete to the best o my knowledge and belie. I acknowledge thatany statement contained therein which is known by me to be alse may invalidate this application and any decision reached thereon.

I enclose my remittance as set out on page 5.

Signature Date

The Association o Authorise Public Accountants (AAPA) is a Recognise Supervisor Bo uner the Companies Act 2006. Registere inEnglan as a compan limite b guarantee, registration number 1379840.

Registere oce: 10 Lincolns Inn Fiels, Lonon WC2A 3BP, Unite Kingom. Tel: +44 (0)20 7059 5895, ax: +44 (0)20 7059 5916.AAPA has elegate the aministration o its aairs to ACCA (the Association o Chartere Certife Accountants).

RM


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PERSONAL dETAILS

Surname

Title (3) Mr Mrs Miss Ms Dr Other (please speciy)

Forenames

Honours/university degrees

Date o birth

Resiential aress

Post town/city County/state

Country Postcode

Business aress

Job title

Company name

Company address

Post town/city County/state

Country Postcode

Tel Area/STD code Number

Fax Area/STD code Number

Mailing etails

I reinstated, please indicate the address to which you wish your correspondence to be sent (3): ResidentialBusiness

Please provide your email address. Your email address will be used or outbound emails. It must be unique to you and not shared.

Email

From time to time, ACCA will send you inormation by email ranging rom administrative notices to continuing proessional development opportunitiesand news on the proession. To ensure that you receive only the type o inormation you require by email, please tick one o the our boxes below.

No electronic mails (or those who do not wish to receive any inormation by email).

One to one emails only (or those who would only like to receive correspondence emails).

ACCA campaign emails (or those who would like to receive one to one emails and promotional emails relating to events/courses/questionnaires).

ACCA and third party emails (or those who would like to receive one to one emails, ACCA campaign emails and emails rom third parties with pr ior

approval rom ACCA).

I readmitted,

do you wish your e-mail address to be included in the Directory o Members? (3) Yes Noplease indicate the address you wish to be included in the Directory o Members (3) Residential Business Neither


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A member in the UK or Ireland will normally be enrolled with the district society covering his/her residential address, which will involve

receiving mailings directly rom that society. I you are reinstated and do NOTwish to be enrolled, tick here (3):

A member in the UK or Ireland will normally be enrolled with the members network covering his/her employment category, which will

involve receiving mailings directly rom that network. I you do NOTwish to be enrolled, tick here (3):

Your details are retained on ACCAs membership database or administrative and regulatory purposes, in accordance with ACCAs registration

under data protection legislation. Whilst ACCA never sells its mailing list to third parties, it does undertake strictly controlled mailings onbehal o selected third parties where the product or service being advertised is likely to be o interest or use to accountants.I you wish to receive such mailings please indicate your express consent by ticking the box (3):

Please detail below the reason or your removal rom membership.

Continue on a separate sheet i necessary.

Please summarise your employment since the date o your removal.Continue on a separate sheet i necessary.

Have you ever been adjudged bankrupt or, either individually or as a par tner/director in a rm, made or agreed to make an assignmentor the benet o creditors or made any arrangement or composition with creditors or executed any similar deed or agreementor attempted to take the benet o any statutory provision or arrangement with creditors? (3) Yes No

I yes, give ull details below including the relevant dates and the current position. Continue on a separate sheet i necessary.

Previous membership number, i known

Date o admission to membership (dd mm yy)

Date o removal rom membership (dd mm yy)

Are you in either ull or spare time practice? (3) Yes No

Have you ever held a non-statutory practising certicate issued by AAPA? (3) Yes No

I yes, please give last year o issue

MEMBERSHIP dETAILS


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EMPLOyMENT CATEGORy Please indicate your current employment category (one only).I not employed, please reer to the oot o this section.

Not emploe

I you tick the Not employed box, you will not receive any members network mailings unless you speciy you wish to by completing the section below.

Members network enrolment UK/Irelan onl

Tick i you do NOT wish to be enrolled in any members network.Tick i you wish to be enrolled in a dierent members network (or networks) to that cover ing your business category (either in addition to, or in place o,

your automatic enrolment). Speciy ALL o the members networks in which you wish to be enrolled below:

Public practice I you tick this box, please complete the ollowing sections.

Nature o frm?I all o the partners/directors are members o the Association o Chartered Certied Accountants,

the rm is Chartered Certied. I all o the partners/directors are members o one, or more, o the

Institutes o Chartered Accountants in England and Wales, Ireland or Scotland, the rm is Chartered.

I all o the partners/directors are members o ACCA and one, or more, o the above-mentioned

Institutes, the rm is Mixed Chartered Certied/Chartered. I all o the partners/directors are

members o the Association o Authorised Public Accountants, the rm is Authorised. Any other

combination o partners/directors, including rms with unqualied partners, is Other.

Chartered Certied Mixed Chartered Certied/Chartered

Chartered Authorised

Other (speciy)

Members in the UK an Irelan working in public practice will automaticall be enrolle in thePractitioners Network/ACCA Irelan Practitioners Network, as applicable, unless inicateotherwise in the Members network enrolment section below.

Job categorWhich one o the categories below best describes your work?

General practising services

OR specialising in:

Audits

Management consultancy

Insolvency

Inormation technology

Taxation

Other (speciy)

Number o partners/irectors?

Sole practitioner 46 1099

23 79 100+

Inustr/commerce I you tick this box, please complete the ollowing sections.

Business categor

Which one o the categories below best descr ibes your employment?Retail/consumer Energy and utilities

Manuacturing industry/engineering Transport/distribution

Proessional services IT/communications

Pharmaceuticals/healthcare Leisure/tourism/travel

Other (speciy)

Members in the UK an Irelan working in the above categories will be enrolle in the CorporateSector Network unless inicate otherwise in the Members network enrolment section below.

Banking Insurance/investment

Members in the UK an Irelan working in the above categories will be enrolle in the FinancialServices Network/ACCA Irelan Financial Services Network, as applicable, unless inicateotherwise in the Members network enrolment section below.

Public sector I you tick this box, please complete the ollowing sections.

Business categorWhich one o the categories below best descr ibes your employment?

Education Local government

National government Not or prot

Members in the UK an Irelan working in the above categories will be enrolle in the PublicSector Network unless inicate otherwise in the Members network enrolment section below.

Health

Members in the UK an Irelan working in the above categories will be enrolle in the HealthService Network unless inicate otherwise in the Members network enrolment section below.


Internal auditing

Data processing/management servicesFinancial accounting

General management

Financial management/treasurership

Management accounting

Company secretarial

Taxation

Other (speciy)

Size o organisation?

110 51250 2001+

1150 2512000


Internal auditing

Data processing/management services

Financial accounting

General management

Financial management/treasurership

Management accounting

Company secretarial

Taxation

Other (speciy)

Size o organisation?

110 51250 2001+1150 2512000

BUSINESS dETAILS


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I returned to AAPA or lost my original cer ticate(s) and thereore I require a replacement membership/ellowship certicate (3) Yes No

I undertake to return the lost original certicate(s) to AAPA should the certicate(s) subsequently be ound.

Signature Date

Reinstatement to membership

2009 subscription 189

Reinstatement ee 44

Unpaid subscriptions 1

Total

1Past years subscription rates: 2005 165

2006 1702007 1702008 175

2009 181

I enclose my cheque/bank drat (made payable to AAPA) or Cheque/drat number

ORdebit my MasterCard Visa American Express Switch/Maestro UK Solo with the sum o

Card number

Start date/valid rom Expiry date Issue no (i applicable)

Name o cardholder

Signature o cardholder

Your remittance will be banked or your credit/debit card will be debited upon receipt o your application.

REMITTANCE

MEMBERSHIP CERTIFICATES

Documents

Aapa Reinstatement App