SUBMISSION FORM

    ​Please submit the Form with following documents
    ​    BY 30th SEPTEMBER 2024 
    1) Duly Completed Payment Advice Form 
    ​2) LETTER OF AUTHORIZATION 
    3) Acknowledgement Receipt for the balance due   
    ​(Late Submission and Incomplete Documents Uploaded will not be processed)
    Max file size: 5MB
    Max file size: 5MB
    Max file size: 5MB
    Max file size: 5MB
    Max file size: 5MB
    By clicking the submit button below, I hereby agree to and accept the following terms:
    1. I am giving consent to use my personal data in compliance with the Personal Data Protection Act.
    2. The fee paid is strictly non-refundable and non-transferable under all circumstances.
    3. I fully understand the current status of MIPA/AIPA/AFA Membership.
    4. I fully authorize my mentor to act on my behalf in accordance with the application process.