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Salutation *

First name *

Last name *

Please use your official name as shown on your official identification documents

Date of Birth *

Phone number *

Email address * We'll email your login details to you

Country *

State/County *

How Did You Hear about Us?

Terms & Conditions *

I agree with FINSIA

This account will incur no charges and is not equivalent to a FINSIA Membership.

I hereby apply for membership of Finsia. I agree that if this application for membership is accepted I will be bound by the provisions of the Constitution and the rules, regulations, by-laws and procedural policies of Finsia as laid down from time to time, including any disciplinary procedures.

I agree to conform to the Code of Conduct of Finsia.

I confirm that the information provided by me in this form is in all respects correct and complete to the best of my knowledge and belief and I consent to it being used by Finsia in considering my membership application or the imposition of disciplinary procedures.

I acknowledge that Finsia reserves the right to refuse my application for membership without assigning any reason.

I agree that Finsia may use my personal information in the provision, administration, improvement or promotion of products and services relevant to Finsia’s membership activities.

I agree to abide by Finsia’s rules with respect to payment of subscriptions and fees. I understand that Finsia is a company limited by guarantee and that my guarantee is limited to $2.00.

I understand that under the Constitution, Certificates of Membership remain the property of Finsia and must be returned on cessation of Membership.

I have never been convicted under the law of any jurisdiction of any offence in connection with corporations, involving fraud or dishonesty punishable on conviction by imprisonment

I have never been disqualified or suspended from managing corporations

I have never had a financial services licence revoked or cancelled, been suspended as a financial services licensee, or been banned from acting as a representative of a licensed dealer or investment adviser

I have never:

(i) been expelled or suspended from membership of any body conducting a stock market or futures exchange in Australia or elsewhere or

(ii) had disciplinary action taken against you which has resulted in the banning of direct participation in the activities of such a body, or the banning of employment by an entity that directly participates in such activities.

Privacy: Finsia requires the information provided by you on this form to administer and manage your registration. Additionally it will assist us in providing and improving Finsia’s products and services and to advise you of events and services that may be of interest to you. Please note that Finsia may provide your personal information on a strictly confidential basis to third party service providers and/or selected event partners/sponsors in order to conduct the event. You can access your personal information by contacting Finsia by email, phone, fax or letter. We recommend that you read Finsia’s privacy policy.