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Candidate Entry Form
Payment and completion of this form entitles you to study material and an examination entry
Date of Birth
Address you would like to be used for correspondence
Daytime contact number
March 2015 Public Examination
I would like to sit the October 2014 public examination on Thursday 26 March 2015 – 2.30pm
The closing deadline for this examination is Friday 30 January 2015
1 Choice Examination Centre:
2nd Choice Examination Centre:
Data Protection Statement
The PMI is registered under the Data Protection Act and maintains a membership database to: enable information to be
exchanged as required between you, the PMI, its subsidiaries, your qualification centre and individuals involved in assessmen t
and regional groups; relevant regulators; your employer (see below) administer any examinations or qualifications you enter and
courses you undertake; billing and accounts; distribute publications and information about other PMI services; distribute mailings
from 3 parties which we believe may be of interest; confirm your membership status and PMI qualifications.
I hereby apply for membership of the Pensions Management Institute and declare that all the information given in this form is
correct and that I consent to it being held in accordance with the Data Protection and Privacy Statement. I hereby undertake, if
admitted to the Pensions Management Institute duly to observe the Articles of Association, Code of Professional Conduct, Rules
and Regulations for the time being in force for the duration of my membership. The Code of Professional Conduct and other
relevant documents are published on the PMI website.
Do you wish to receive communication from the PMI Regional Groups?
If yes, please select the Regional Group(s) you wish to be contacted by:
Do you wish to receive a monthly copy of PMI News?
Do you wish to receive a monthly copy of Pensions Age?
Do you wish to receive fortnightly PMI TV emails?
Do you wish to receive emails about PMI activities?
Where did you hear about this qualification?
FOR OFFICE USE ONLY
CPAE Payment Form and
All fees are given in Sterling (£)
PIN Number (if known)
CPAE(Please tick appropriate box(es) below)
Learning Material, Examination Package (current
Learning Material, Examination Package (new
I enclose a cheque made payable to PMI
I would like to pay by debit/credit card
I have made a BACS payment to PMI
The payment has been made from:
A personal account
PMI Bank details:
HSBC Bank Plc, 100 Old Broad Street, London, EC2N 1BG
Please ensure your surname and membership number is given as a reference on the BACS payment to prevent the
payment being returned.
Type of card:
Please note: PMI does not accept American Express or Diners
Name on Card:
Last 3 digits on the back of the card