Member Application - Human Resource Management Association of Trinidad & Tobago

Membership Application

Membership Status

Is this a new application or a renewal?

New application

Renewal

Personal Information

First Name

Middle Name

Last Name

Gender

Date of Birth

Nationality

Address

Address Line 1

Address Line 2

City

Country

Phone

Mobile

Fax

Primary Email

Alternate Email

Company and Employment Information

Company Name

Company Address

Address Line 1

Address Line 2

City

Country

Phone

Mobile

Fax

Company Size

Department Size

Sector

Industry

Specify Sector

Specify Industry

Job Title

Please Specify

No. of years HR experience:

No. of years - Total Career:

Education and Training

(Select the highest qualification and give details of the programme and any other specialist qualifications)

Specify Qualification

Details

Other Specialist Certifications

Details of any current study:

Programme

Institution/ Accreditation Body

Membership Engagement & Volunteerism

(Select any activity you would like to join)

POLITICALLY EXPOSED PERSONS (PEP) - Self Declaration

In accordance with the Proceeds of Crime Act 2000 (as amended) and the Financial Obligations (Amendment) Regulations
2014, Regulation 20(3), and as a registered NGO, HRMATT is required to undertake Enhanced Customer Due Diligence on
members who are classified as a PEP. A PEP shall be considered as an individual who is or has been entrusted with a
prominent function either locally or in a foreign country. A person remains a PEP even after they demit office.

Do you fall into any of the PEP categories as defined below?

Yes

Domestic PEP or Foreign PEP

Head of State, Head of Government, Government Minister, Senior Member of Legislature

Senior Politician, Senior Government Government Official, Senior Judicial Officer, Important Political Party Official

Chairman, Board Member, Corporate Secretary, CEO, Senior Executive of a State-owned Corporation or Statutory Board

Military Official

International Organization PEP

United Nations and affiliated International Organization; International Labor Oganization

Inter-American Development Bank; Organization of American State

Caribbean Financial Action Task Force

Job Title

Close Associate of a PEP (select which best describes your association with the PEP)

Business Partner/Professional Associate: Individuals with joint beneficial ownership of a legal entity or legal arrangement or other close business relationship with a person.

Personal Affiliate: An individual who a prominent member of a political party, or girlfriend/boyfriend/partner of a PEP.

Name of PEP

Declaration

I agree to notify HRMATT if at anytime after this submission, I become a politically exposed person, family member or close associate of a politically exposed person.

*SOURCE OF FUNDS DECLARATION (Please indicate main source of funds to used to make payments to HRMATT)

Emolument Income

Proceeds from Self-employment/Partnership/Company

Other

Please specify source of funds

Billing Preferences

Send Invoice to

Self

Company/Other

Addressee Name

Job Title

Phone

Year Last Renewed

Member ID

I wish to apply for a Fee Adjustment, due to

Retirement

Ill-health

Job loss

Return to full-time school

Duration

Section Break

Some description about this section

To complete your renewal please submit the following to secretariat@hrmatt.com:
1) Completed Application Form
2) Copy of two valid Photo IDs (eg. National ID (front and back); Driver’s
Permit; Passport)
3) Proof of address (e.g. utility bill or letter from person in whose name it is.
4) Copy of Resume/CV
5) Proof of loss of income, if fee adjustment was requested (eg. proof of
termination, retirement, acceptance for full time studies)
6) Copy of payment deposit as proof of payment (after receipt of invoice)

Upload Documents

Choose File

Declaration by Member or Applicant

Declaration

I hereby declare that all of the information above is true, accurate, and completed as far as possible and that HRMATT can rely on such information and representation as may be required by law, unless written notice of change is provided thereafter.

I am willing to accept the objectives of the Human Resource Management Association of Trinidad and Tobago Limited.

MEMBERSHIP APPLICATION

Membership Status

Personal Information

Company and Employment Information

Education and Training

Membership Engagement & Volunteerism

POLITICALLY EXPOSED PERSONS (PEP) - Self Declaration

Billing Preferences

Section Break

Declaration by Member or Applicant