Get Involved

EPA Membership application

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Personal Particulars

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Employment History

Please add your employment history for the last five years:

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Qualification

Personal Qualification

Fit and Proper

Have you at any time been convicted of any offence, EXCLUDING:

  • Any offence committed when you were under 18 years, unless the same offence was committed within the last ten years;
  • Any road traffic offence;
  • Any political offence.

Fit and Proper

Have you been censured, disciplined, warned as to future conduct,
or made the subject of a court order at the instigation of any regulatory authority or any professional body to which you belong or belonged,
or have you ever held a practicing certificate subject to conditions
(in the Republic or elsewhere)?

Fit and Proper

Have you, or has any body corporate, partnership or unincorporated institution with which you are, or have been, associated as a director or executive officer, been the subject of an investigation by or at the instigation of a government department or agency, professional association or other regulatory body (in the Republic or elsewhere)?

Fit and Proper

Have you been dismissed from any office or employment or been subject to disciplinary proceedings by your employer or been barred from entry to any profession or occupation (in the Republic or elsewhere)?

Fit and Proper

Have you failed to satisfy any debt adjudged due and payable by you, as a judgement-debtor under an order of a court (in the Republic or elsewhere) or have you made any compromise arrangement with your creditors within the past 10 years?

Fit and Proper

Have you ever been declared insolvent (either provisionally or finally) by a court (in the Republic or elsewhere) or has a bankruptcy petition ever been served on you?

Fit and Proper

Have you, in connection with the formation or management of any body corporate, partnership or unincorporated institution, been adjudged by a court (in the Republic or elsewhere) civilly liable for any fraud, misfeasance or other misconduct by you towards such a body or company or towards members thereof?

Fit and Proper

Has any body corporate, partnership or unincorporated institution with which you were associated as a director or executive officer (in the Republic or elsewhere) been wound up, made subject to an administration order, otherwise made any compromise or arrangement with its creditors or ceased trading, either while you were associated therewith or within one year after you ceased to be associated therewith, or has anything analogous to any of these events occurred under the laws of any other jurisdiction?

Fit and Proper

Have you been concerned with the management or conduct of the affairs of any institution that, by reason of any matter relating to a time when you were so concerned, has been censured, warned as to future conduct, disciplined or made the subject of a court order at the instigation of any regulatory authority in the Republic or elsewhere?

Fit and Proper

Are you currently, or do you, other than in a professional capacity, expect to be engaged in any litigation in the Republic or elsewhere?

Invoicing

Will your employer be paying the invoice on your behalf?

Acknowledgements

In order to proceed with your application, you are required to accept the below

I hereby acknowledge that I have attained the necessary approval for membership application and payment of the membership invoice from the relevant authorised person.

I hereby acknowledge that in indicating that the invoice is to be made out to my employer, it is presumed that I have the authority and permission to contractually bind my employer in this regard. Should this not be the case and should my employer not pay this invoice, I will be legally obligated to settle payment thereof.

I hereby acknowledge that the membership to the EPA is on an individual basis and I am responsible for ensuring the payment of any monies due to the EPA.

Confirmation

I understand that I will be bound to the EPA's Code of Ethics.(still in development)

In order to proceed with your application, you are required to accept the below

I consent to the EPA carrying out education history checks.

I consent to the EPA carrying out employment reference checks.

Confirmation

In order to proceed with your application, you are required to accept the below

I confirm that I am aware that there is an annual membership fee and that this will be paid on receipt of an invoice from the EPA.

I confirm that my details are correct for invoice purposes.

Terms and Conditions

Please accect all conditions

I hereby confirm that I have read, understood, and agree to the EPA’s Finance Policy.

I hereby confirm that I have read, understood and agree to the Terms and Conditions of Membership.