1. Full Name
(Mr. / Mrs. / Miss. / Dr.):
...............................................................................................................................................................................................................................................
............................................................................................................................................................................................................................................... |
1.1 Name with
Initials:
............................................................................................................................................................................................................................................... |
| 2. Address |
 |
| Residence |
 |
| Designation |
 |
| Organisation |
 |
| Office Address |
|
 |
..............................................................................................................................................................................................................
..............................................................................................................................................................................................................
..............................................................................................................................................................................................................
.............................................................................................................................................................................................................. |
 |
|
.............................................................................................................................................................................................................. |
 |
|
.............................................................................................................................................................................................................. |
 |
..............................................................................................................................................................................................................
..............................................................................................................................................................................................................
..............................................................................................................................................................................................................
.............................................................................................................................................................................................................. |
|
|
Address to which
Mail should be sent to: |
 |
Residence |
 |
|
 |
|
Office |
 |
|
 |
|
|
| 2.1 Telephone |
 |
Residence |
 |
|
 |
 |
Office |
 |
|
 |
 |
|
| 2.3
E-mail |
 |
|
|
|
3.
Year of Completing
CMA Exam |
 |
|
|
| 4. Membership of
Professional Bodies (Attach copies of certificates indicating date of obtaining
membership) |
................................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................ |
|
5. Experience -
Indicate name of the company, Industry classification, (refer attached guideline A, B, C)
a separate sheet to be used if necessary.
(Attach copies of training undertaken duly certified by
supervisor - applicable to passed finalists) |
|
| 1. |
 |
|
 |
|
 |
|
 |
|
 |
|
| 2. |
 |
|
 |
|
 |
|
 |
|
 |
|
| 3. |
 |
|
 |
|
 |
|
 |
|
 |
|
| 4. |
 |
|
 |
|
 |
|
 |
|
 |
|
| 5. |
 |
|
 |
|
 |
|
 |
|
 |
|
|
 |
|
 |
|
 |
|
 |
|
 |
|
|
6. Designation |
 |
|
|
 |
|
7. Employer Name &
Address |
 |
|
|
| 8.
Membership applied for |
 |
ASCMA |
 |
|
 |
FSCMA |
 |
|
 |
|
|
a)
Associate of the Society of Certified Management Accountants (ASCMA)
(Minimum 3 years recognized training)
b) Fellow of the Society of Certified Management Accountants (FSCMA)
(Minimum 5 years experience of which 3 years should
be at senior managerial
level) |
 |
|
 |
Per annum |
 |
Rs.
2,250.00 |
|
|
|
 |
Per annum |
 |
Rs.
2,750.00 |
|
|
|
| c)
Registration Fee |
 |
Rs.
3,000.00 |
|
All cheques
should be drawn in favour of "Society of Certified Management Accountants of
Sri Lanka" |
 |
|
| Total fees to
be remitted |
 |
Rs. |
|