Affiliate Membership Application

(Last, First, Middle Initial)
Please upload evidence of current membership in the "Supporting Documents" section below (e.g. name listed in member directory, membership card, certificate).

Disciplinary Sanctions

Have any public disciplinary sanctions been imposed against you by any actuarial organization of which you are a member?
If yes, please attach the details. Such record will be taken into consideration by the CAS in determining whether the applicant should become a Fellow of the CAS.
Are there any pending disciplinary matters against you by any actuarial organization of which you are a member?
If yes, please attach the details. Such record will be taken into consideration by the CAS in determining whether the applicant should become a Fellow of the CAS.
I grant permission for the CAS to contact the appropriate disciplinary body of the IAA.
I agree to notify the CAS in the event that disciplinary actions are taken against me.
Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
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