Associate Membership Registration - Association of Independent Insolvency Practitioners

Mobile *

Work Number *

Street *

Suburb/City *

State *

Postcode *

Professional Membership (please tick if applicable) CAANZ CPA IPA ARITA

Please enter details below of your preferred name for your name badge.

Preferred First and Last Names *

Employer Name *

Employer Address *

Current Position / Title *

Qualifications *

Details of current employment *
Include a brief outline of experience, responsibilities, staff under management, etc. Include where applicable experience with any major administrations.

Details of previous employment (if less than 5 years service with current employer) *
Include a brief outline of experience, responsibilities, staff under management, etc. Include where applicable experience with any major administrations.

Details of partner/principal/director to whom you currently report *
Include full name, position and contact number or email

Membership as an associate member is available to those individuals who are not registered trustees or liquidators, but who intend to apply for registration within the next 3 to 5 years. *
Please briefly outline your current plans and expectations for registration as a trustee and/or liquidator.

I consent to publish my member details on the website.

I agree that all applications are subject to the approval of the Board of Directors of Association of Independent Insolvency Practitioners Limited.