Chartered Secretaries Malaysia (MAICSA)

Updated: 07 Dec 2021

Online Application for Re-Registration as Student (Page 1 of 3)

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.

RE-REG 004/2020

APPLICATION FOR RE-REGISTRATION AS STUDENT


To: Council of The Institute of Chartered Secretaries and Administrators I apply for re-registration as a student of The Institute of Chartered Secretaries and Administrators and undertake to comply with the regulations relating to students of The Institute. I certify that the information given here is to the best of my knowledge accurate in all respects.


Name (in block letters)	Signature and Date

The fees payable on re-registration is enclosed: Refer to fee schedule on the number of pending subjects within the first 3 years of study period.

STUDENT RE-REGISTRATION (3 YEARS):

Fees enclosed with proof online payment slip.


Date of first registration	:
Date of re-registration (if any)	:
Student registration number	:

Please complete ALL SECTIONS in BLOCK CAPITALS: Payment Details: Online Banking: www.maybank2u.com.my or Direct Transfer: MBB 5144-8630-1427 made payable to "MAICSA" for amount 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	:

Signature card holder	:
Date	:

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