12.07.2015 Views

exemption application form - Chartered Tax Institute of Malaysia

exemption application form - Chartered Tax Institute of Malaysia

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CHARTERED TAX INSTITUTE OF MALAYSIA (225750-T)(Formerly known as <strong>Malaysia</strong>n <strong>Institute</strong> <strong>of</strong> <strong>Malaysia</strong>)EXEMPTION APPLICATION FORMClosing date for <strong>exemption</strong> <strong>application</strong> is on or before 1st September every year.Please complete those sections applicable.NAME (MR/MISS/MS): ____________________________________________________________(as stated in IC/Passport)REGISTRATION NO: __________________ REGISTRATION DATE: _____________________MAILING ADDRESS: __________________________________________________________________________________________________________ TEL NO: _______________Please (√) Tick the papers that you wish to apply for <strong>exemption</strong> based on your academic orpr<strong>of</strong>essional transcript.FOUNDATION LEVEL / LEVEL IPersonal <strong>Tax</strong>ation (110)Economics and Business Statistics (120)Financial Accounting I (130)INTERMEDIATE LEVEL / LEVEL IIFINAL / LEVEL IIIBusiness <strong>Tax</strong>ation (210)Specialised Industries (220)Company and Business Law (230)Revenue Law (310)Advance <strong>Tax</strong>ation (320)Financial Accounting II (330)Business and Financial Management (340)ACADEMIC QUALIFICATIONSName <strong>of</strong> Institution <strong>of</strong> HigherLearningDate CompletedCertificate/Diploma/DegreeAwarded


PROFESSIONAL / OTHER QUALIFICATIONSName <strong>of</strong>Examining BodyPart/LevelExamination PassedDate PassedDate Admitted toMembership and StatusTo the CouncilI hereby certify that the above in<strong>form</strong>ation is correct and will pay the Exemption fees uponreceiving the Exemption Statement.Date: ____________________Signature: _______________________NOTES1. Certified True Copy <strong>of</strong> all academic transcripts and certificates and relevant documents mustbe submitted.Original copies may be required upon request.2. Exemption fees payable are as follows:Foundation Level / Level I Intermediate Level / Level II Final Level / Level IIIPer subject RM 110.00 Per subject RM 130.00 Per subject RM 160.00For Office UseDate <strong>of</strong> <strong>application</strong> received: _________________________________________,Date <strong>of</strong> <strong>application</strong> approved: ________________________________________,Approved by: _____________________________________________________,Registration Date: __________________________________________________,Registration No.: ___________________________________________________,EXEMPTIONS AWARDED110 120 130 210 220 230 310 320 330 340

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