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Online Application for Exemptions (PDCA & ICSA IQS) (Page 1 of 3)  print
The online form will prompt you to three (3) pages
Please use these forms to provide MAICSA with information to support your application
Please use the EDIT button at the bottom of the screen to key in the information
When you have completed the forms, please use the PRINT button at the bottom of the screen to print out the information that you have keyed in or click on the SAVE button at the bottom of the screen to save the data
The saved data will be purged from the MAICSA Interactive after one (1) month
Click on the SAVE button and NEXT button at the bottom of the screen to continue next page
Students are required to submit the hardcopies (page 1-3) of the application form together with the supporting documents, within one (1) month to the Institute, failing which, the submission will be invalid.
Reference No.: 9176369152
THE MALAYSIAN INSTITUTE OF CHARTERED SECRETARIES AND ADMINISTRATORS
Bangunan MAICSA, No. 57, The Boulevard, Mid Valley City, Lingkaran Syed Putra, 59200 Kuala Lumpur.
Tel: 03-2282 9276   Fax: 03-2282 9281   E-mail: maicsa@maicsa.org.my   Homepage: www.maicsa.org.my
APPLICATION FOR EXEMPTIONS
[Professional Diploma in Corporate Administration (PDCA) & ICSA International Qualifying Scheme (IQS)]
(PLEASE COMPLETE IN BLOCK LETTERS)
TO: EXAMINATIONS DEPARTMENT
MAICSA
A. PERSONAL PARTICULARS
Name: ( / / / )
Mailing Address:
  Daytime Contact Tel:  
Date of Birth:   Sex:   Age:   E-mail:
ICSA Student Reg. No (if applicable):   New NRIC No.:  
I wish to apply for exemptions from the ICSA examination and certify that all information provided on this form and in the supporting document is to the best of my knowledge accurate in all respect.
 
Signature:  Date:
Method and details of payment:
Cheque / Bank draft / Money Order No:   for amount of RM  
Credit Card   Visa   Mastercard Please charge RM   to my credit card:
Bank:  Card No:  Name on the card:
Card start date:  Card expiry date:  Date:
Signature of cardholder:  Date  
 
APPLICATION FOR EXEMPTION FORM_with GST Page 1 of 3