KG 501 ST 21

P.O. Box: 3213 Kigali

Tel: +250 784103930
Behind Career House Bldg., Kacyiru
Email: info@icparwanda.com
www.icparwanda.com
(Law No. 11/2008 of 06/05/2008 establishing iCPAR)

MEMBERSHIP APPLICATION FORM

(Note: Please complete this form in Capital letters.)

A. Application Category

I hereby submit my application for membership as: - CPA CAT

(Please refer to Appendix I of this application form for the eligibility criteria and tick the appropriate category applied for, above)

B. Personal Information Affix your recent

colored passport size
photograph
i) Passport Photograph

ii) Title: Mrs. Mr. Dr. Prof. Other (Please specify in the box)
(Tick the applicable Title)

iii) Applicant’s Full Name:

iv) Date of Birth :

v) Nationality:

ID No:

Passport No:

vi) Gender: Female Male (tick the applicable Gender)

vii) Address: (indicate your PO Box

Address)

viii) Contacts (Phone Number 1)

(Phone Number 2 or Landline)

 (Email)

ix) Occupation (Indicate current occupation)

 Organization (Indicate current Employer

Self Employment)

 Address (Indicate Permanent PO Box of

Employer/Entity)

 Contacts (Entity Cell Phone / Landline)

(Organization Contact Email)

C. Educational and Training Details

I. Academic Education (Secondary and Post-Secondary)

School From To Name of Examining Qualification

Body and Country Obtained

(Please attach notarized copies of relevant certificates)

 II. Professional Accountancy Education

School From To Name of Examining Qualification

(Year) (Year) Body and Country Obtained

III. Other Qualifications

Institution From To Name of Examining Qualification

(Year) (Year) Body and Country Obtained

IV. Summary of Employment and Relevant Experience

 Institution From To Position Held Key responsibilities
(Year) (Year)

(v) Curriculum Vitae

Please attach curriculum vitae of not more than four pages structured as follows:-

 Organization (s) you have worked for

 Positions held
 Duration
 Key responsibilities
 Employment references

D. References

(Please attach original recommendation letters from current employer or a member of an Institute recognized by the
International Federation of Accountants (IFAC).

Reference from Relationship to applicant

 E. Academic Transcripts

Please attach notarized academic transcripts for each year of study.

F. Declaration

(i) I confirm that all changes in my address will be communicated to iCPAR in writing within 30 days of the
change.

(ii) I accept my responsibility to undertake adequate Continuing Professional Development as recommended by

the Governing Council from time to time.

(iii) I confirm that I will abide by the Institute’s code of professional conduct and ethics.

(iv) I authorize you to contact my University/Institute/College/School/Employer/Referees or any other persons

or organization to verify the details presented in my application.

(v) I have never been charged / convicted by any court of Law on any case (s) other than as stated in the
attachment referenced………………………….(Indicate either Not Applicable or attach details to this application form if applicable)

(vi) I understand that this application will lead to issuance of a provisional membership subject to approval by
the Governing Council.

(vii) I understand that the membership will also be subject to payment of Rwf 150,000 for application, a building
fund fee of Rwf 300,000 payable once and one year membership fee and subsequent annual subscription
fees of Rwf 150,000. These amounts are subject to change as determined by the Governing Council.

(viii) I hereby declare that the information and representations made in this application form are true and correct
in every respect and I further acknowledge that any statement contained anywhere in this application,
which is known to me to be false, shall invalidate this application.

Signature
Date

G. Submission Address

Note that the completed form should be returned to:

The President Governing Council

Institute of Certified Public Accountants of Rwanda (ICPAR)
P.O Box 3213 Kigali, Rwanda

H. For official Use only

(i) This application form, attachments and testimonials have been reviewed and approved by the Governing Council of
ICPAR and the following has been resolved:

The applicant has successfully met the minimum requirements set under Law number 11/2008 of 06/05/2008
Establishing ICPAR and has been assigned a CPA/CAT membership number

CPA

CAT

(Fill in the correct box and in the other NA to mean Not Applicable)
 Signed for and on behalf of the Governing Council by:-

Signature (President of the Governing Council of iCPAR)

Signature (Secretary of the Governing Council of iCPAR)

Date

(ii) The application has NOT met the minimum requirements set under Law number 11/2008 of 06/05/2008 establishing
ICPAR and the application has therefore been DECLINED by the Governing Council for the following reasons, which
will be communicated to the applicant in accordance with Law No. 11/2008 of 06/05/2008 Establishing ICPAR:-

Reason Number Details

Signed for and on behalf of the Governing Council by:-

Signature (President of the Governing Council of iCPAR)

Signature (Secretary of the Governing Council of iCPAR)

Date

Appendix I (Membership Eligibility)

Article 58: Eligibility for registration as a Certified Public Accountant

For a person to be a Certified Public Accountant, he/she shall fulfill at least one of the following requirements:

1. be a holder of the professional qualification of a Certified Public Accountant issued by the Institute (Institute of
Certified Public Accountants of Rwanda)
2. Be a holder of a professional qualification of a Chartered Accountant or Certified Public Accountant issued by a
body of professional accountants in another country which has full membership of IFAC.

Article 62: Eligibility for registration as a Certified Accounting Technician

To be eligible for registration as a Certified Accounting Technician, a person shall fulfill anyone of the following
requirements:

1. be a holder of a Certified Accounting Technicians certificate awarded by the Institute (Institute of Certified Public
Accountants of Rwanda)
2. Be a holder of a Certified Accounting Technicians certificate awarded by a body of professional accountants
outside Rwanda which is a full member of IFAC.

(For more information, please refer to Law No. 11/2008 of 06/05/2008 Establishing ICPAR)