1Applicant Details2Employer Details3Membership Categories4Membership Requirements5Reasons for Seeking Membership6Membership Knowledge & Skills Requirement7Supporting Documentation Required8Applicant Declaration Becoming a member will enable you to store all your CPD points in your My Account area.You will need to be a paid-up member to access your account and view your CPD points. You are also welcome to store your third-party CPD points in your My Account area. An applicant’s name will be advertised in the Stockbrokers and Investment Advisers Monthly Newsletter and application must be approved by the SIAA Profession Committee and Board. You will need to upload supporting documentation as part of your membership application. Persons not employed by a Principal Member must upload with their application: Resume outlining employment history (one page) Certified copies of academic record National Police Check – less than two (2) years old Good Fame & Character Declaration Signed proposer and seconder of membership application form (two current paid-up Practitioner members of SIAA to sign) Employees of Principal Members of SIAA must upload: Resume outlining employment history (one page) Good fame & Character declaration Principal member employee declaration *Pro-rated Membership Membership applications received outside the normal membership year (1 October – 30 September) will be charged a pro-rated amount at time of application. Annual Individual Membership fees Master Practitioner Member (MSIAA) $515 annually Practitioner Member (MeSIAA) $410 annually Individual Affiliate Member (AfSIAA) $410 annually Principal Member and Affiliate organisation fees: please contact SIAA on +61 2 8080 3201.Title*MrMrsMissMsDrOtherTitle (other)* Name First Last Date of Birth* DD slash MM slash YYYY ASIC Adviser No Home Address* Street Address Address Line 2 Suburb Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Postcode Mobile*Work email* (for all communications)Personal email* (In the event you cease to be an employee) Employer Name* Your position* Address* Street Address Address Line 2 Suburb State Postcode Work Telephone*Name of AFSL Holder* AFSL No* Your Authorised Representative No. (if applicable) Are you an employee of a Principal Member of SIAA?*YesNoIf you are an employee of a Principal Member of SIAA, a fast track application process is available, as SIAA is able to rely upon the imprimatur of the Principal Member.For which membership category are you applying*Master Practitioner Member MSAFAA - $495 annuallyPractitioner Member MeSAFAA - $395 annuallyThere are two Practitioner Membership Categories, Member (MeSIAA) $410 annually and Master (MSIAA) $515 annually. *Pro-rated Membership: Membership applications received outside the normal membership year (1 October – 30 September) will be charged a pro-rated amount at time of application. Please select the appropriate Membership category for which you are applying.I am on the ASIC Financial Advisers RegisterYesNoI have employment experience providing professional advice and/or services in an operations or management capacity within the financial services industry. I also hold an appropriate tertiary qualification and/or recognised industry certification. Any advice that is provided by me is provided under a financial services licensing arrangement that meets current legislative requirements.* Yes I am currently a Responsible Executive ...OR… I have at least 7 years experience in total within the last 10 years in an advising, operations or management capacity with one or more Market Participants or Principal Members of the Stockbrokers and Investment Advisers Association. Any advice that is provided by me is provided under a financial services licensing arrangement that meets current legislative requirements.* Yes I am registered with the Tax Practitioners Board as a Tax (Financial) Adviser*YesNo I meet the Stockbrokers and Investment Advisers Association guidelines for good fame and character.* Yes Please complete the Good Fame Declaration form*Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.Please download a copy of the Good Fame & Character declaration form hereI meet the Stockbrokers and Investment Advisers Association Membership Knowledge & Skills Requirement.* Yes I confirm I am covered by Professional Indemnity Insurance. Under the Association’s Code of Ethical Conduct, Members must obtain such PI insurance as may be required by law or any applicable rules.* Yes Please set out reasons why the Applicant is seeking to join the Association* Membership Knowledge & Skills Requirement* 1. Holds a university degree. The Board will consider the appropriateness of degrees on a case by case basis. 2. Has successfully completed the SAFAA Professional Diploma in Stockbroking and/or the former SDIA Accreditation Program 3. Other qualification/s – please specify 4. In relation to registered Tax (Financial) advisers – I have the equivalent of six years of full- time experience in providing tax (financial) advice in the past 8 years Select one or more of the following: Please note: Tax (Financial) Advisers must meet either or both of 1 and 4.Evidence of a university degree*Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.Evidence of completing the SAFAA Professional Diploma in Stockbroking and/or the former SDIA Accreditation Program*Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.Other qualifications*Evidence of other qualifications*Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB. One page resume outlining employment history*Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.Certified copies of academic record and/or industry qualificationsAccepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.National police check (within the last two (2) years)Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.Signed proposer and seconder form (two current paid-up Practitioner members of SIAA to sign)*Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.Download the form here.One page resume outlining: my academic record, industry qualifications and employment history*Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.Use of the Term ‘Stockbroker’ (Only applies to representatives of Market Participants)Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.If you wish to refer to yourself as a ‘stockbroker’ or ‘sharebroker’, please ensure that your employer completes the following declaration. Please download a copy of the Employer declaration form here I confirm that the information supplied in this application is complete and correct. I understand that any false or misleading information may lead to loss of membership.* Yes I agree to read and be bound by the terms and conditions of the Stockbrokers and Investment Advisers Association Constitution, Rules, Code of Ethical Conduct, and any policies and guidelines issued by the Stockbrokers and Investment Advisers Association (as amended from time to time).* Yes I will undertake appropriate annual Continuing Professional Development as prescribed by the Stockbrokers and investment Advisers Association.* Yes I agree to be subject to the Stockbrokers and Investment Advisers Association Conduct Review and Disciplinary System.* Yes I confirm my employer has countersigned my application* Yes Please ensure that your employer completes the following declaration*Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 10 MB.Please download a copy of the Employer declaration form here.