Cia exam Reapplication Form Computer Based Testing 2013 name: Име

…………………………………………………………………………………………………………

(First Name,s) (Име, Презиме) (Last Name) (Фамилия)

IIA MEMBERSHIP/ CUSTOMER INFORMATION:

Are you a member of The IIA?  Yes – ID #: ………………….  No ID #: ………………….

Член ли сте на The IIA? Да (членски номер) Не (клиентски номер)

ORGANIZATION: (Организация)…………………………………POSITION: (Длъжност)……………..……………

BUSINESS ADDRESS: (Служебен адрес)..……………………………………………………………………………

E-MAIL: …………………………………………….

BUSINESS PHONE: (служебен тел. номер)………………………………. FAX: ………………………………

JOB CODE : __________________ (код на длъжността) * INDUSTRY CODE : _____________ (код на отрасъла) * *Виж приложението

INTERNAL AUDITING EXPERIENCE: (опит в областта на вътрешния одит или еквивалентен)  None (без опит)  Less than 1 year (по-малко от 1 година)  1 year but less than 2 years (между 1 и 2 години)  2 or more years (2 и повече години)

HAVE YOU SUBMITTED EXPERIENCE VERIFICATION FORM?

Представили ли сте формуляр – професионален опит на кандидата?

 Yes  No  Enclosed (Приложение на формуляр – професионален опит на кандидата към настоящия формуляр)

HAVE YOU APPLIED FOR THE COMPUTER BASED CIA EXAM BEFORE?  Yes  No

Регистрирали ли сте се досега за компютърно-базираната версия на изпитите по програма CIA?

Ако 'НЕ', моля посочете, кога за първи път сте се регистрирали за изпит по програмата CIA (месец, година)

Моля посочете месец и година, когато за последно сте преминали успешно изпитна част (ако е приложимо)

Дата Подпис на кандидата

The application forms will not be processed until the payment to the IIA Bulgaria’s bank account is received. Please, submit data for issuing invoice along with the application forms.

Вашият формуляр за регистрация ще бъде обработен след като постъпи плащането по банковата сметка на IIA Bulgaria. Моля да предоставите данни за издаване на фактура, заедно с формуляра за регистрация.
Job & Industry Codes

(код на длъжността и код на отрасъла)

Job Codes Select the position that best describes your role and function (not necessarily your exact title) in your organization. Enter the appropriate number in the job code section of the Certification registration/application form. 200 Chief Audit Executive - I am the most senior audit officer for the organization with ultimate responsibility for the entire internal audit function. 210 Director of Auditing - I am the chief auditor authorized to direct a broad, comprehensive program of internal auditing within my organization. 220 Audit Manager - I administer the internal audit activity of an assigned location within the general guidelines provided by the director of auditing. 230 Audit Staff - I conduct, or assist in conducting, reviews of assigned organizational and functional activities.	245 IT Audit Director - I am head of the IT audit activity within my organization. 250 Audit Manager - I administer the IT audit activity of an assigned location within the general guidelines provided by the director of auditing. 260 IT Audit Staff - I conduct, or assist in conducting, reviews of assigned organizational and functional activities related to IT auditing. 275 Audit Services Contractor - I offer internal audit services on a contracted basis. 280 External Public Accountant - I am a practicing public accountant, chartered accountant, etc. 300 Corporate Management - I am a corporate officer, CFO, CIO, CEO (and do not qualify under another job code above). 310 Educator - I am principally employed as an educator at a college or university (PhD., DBA, EdD., etc.).	320 Student - I am pursuing a degreed program at a college or university (including doctoral candidates) on a full-time basis. 330 Retired - I am retired from active employment (otherwise refer to another job code). 340 Audit Committee Member - I am an audit committee member of a corporate board of directors (and do not qualify under another job code above). 350 Management Consultant - I am primarily an independent consultant with an interest in internal auditing (otherwise refer to another job code). 360 Other - Specify title or job description.
Industry Codes Agriculture, Forestry, & Fisheries 0100 Agriculture, forestry, & fisheries Mining 1000 Mining 1300 Oil/gas extraction Contract Construction 1500 Construction Manufacturing 2000 Food/kindred products 2100 Tobacco manufacturers 2200 Textile mill products/apparel 2400 Lumber/wood products (incl. furniture/fixtures) 2600 Paper & allied products (incl. printing/publishing) 2800 Chemicals 2830 Drugs and research 2840 Petroleum refining and related industries 3010 Rubber and plastics products 3100 Leather, stone and glass products 3300 Primary metal industries 3400 Fabricated metal products (including non-electric machinery) 3500 Industrial and commercial machinery 3510 Aerospace 3520 Computers and related devices/equipment 3600 Electrical machinery, electronic equipment and supplies	3700 Transportation equipment 3800 Scientific, photographic, medical records 3900 Miscellaneous manufacturing industries Transportation, Communications & Utility Services 4000 Land transportation 4400 Water transportation 4500 Air transportation 4700 Other transportation services 4800 Communication services 4810 Telecommunications 4900 Electric/gas/sanitary services 4910 Gas services 4920 Gas and electric services 4930 Sanitary services Wholesale & Retail Trade 5000 Wholesale trade 5300 Retail trade 5800 Eating and drinking places Financial, Insurance, & Real Estate 6000 Banking and financial institutions 6030 Nonbanking bank services (i.e. leasing) 6040 Thrift and savings & loan organizations 6100 Credit unions 6130 Other credit agencies 6200 Security and commodity services	6300 Insurance carriers, agents and services 6500 Real estate services 6700 Holding/investment companies Services 7000 Hotels/lodging services 7200 Personal/social services 7300 Contracted audit services 7310 Management consultants 7320 Information technology services 7330 Executive placement services 7500 Repair services 7600 Gaming/lottery 7800 Motion pictures/amusement & recreational services 8000 Health services 8100 Legal services 8200 Educational services 8600 Membership organizations 8900 Public accounting/accounting/bookkeeping services 8910 Miscellaneous services Government 9100 Federal/national government 9200 State/provincial government 9300 Local government 9400 International government Nonclassifiable 9900 Nonclassifiable establishments