Members Self Declaration Form

Question Title

First name(s) (Required.)

Question Title

Surname (Required.)

Question Title

CISI Customer Number (Required.)

Click here to get your CISI customer number.

Member Conduct Declaration

As a member of the CISI, you are required to declare any matter that may affect your membership suitability. You can do so by emailing Standards@cisi.org or alternatively, you can do so by filling out the form below:

Question Title

In the last 12 months, have you been involved in, or become aware of, a matter or circumstance that may affect your membership suitability, that has not already been declared to us? (Required.)

Yes

If you are unsure whether you need to make a disclosure, you should consider whether any of the following matters apply to you. This list is not exhaustive, and you should disclose any other matter that you consider relevant.

Matters that may need to be disclosed include, but are not limited to:

Criminal convictions: You are not required to disclose convictions that are spent under the Rehabilitation of Offenders Act 1974, or protected convictions that are filtered from a standard or enhanced Disclosure and Barring Service (DBS) check.
Bankruptcy or financial arrangements: Having entered into an Individual Voluntary Arrangement (IVA), or an equivalent agreement with creditors, having been declared bankrupt or insolvent, or having entered into a composition or other arrangement with creditors.
Regulatory or professional disciplinary matters: Having been subject to disciplinary proceedings brought by the Financial Conduct Authority (FCA), another Regulatory Body, or a Professional Body.
Internal disciplinary matters: Having been subject to a disciplinary investigation by your firm that resulted in disciplinary action being taken against you.

If you are in any doubt about whether a matter should be disclosed, please email us at standards@cisi.org for further assistance.

Members Self Declaration Form

Question Title

* First name(s) (Required.)

Question Title

* Surname (Required.)

Question Title

* CISI Customer Number (Required.)

Question Title

* In the last 12 months, have you been involved in, or become aware of, a matter or circumstance that may affect your membership suitability, that has not already been declared to us? (Required.)

First name(s) (Required.)

Surname (Required.)

CISI Customer Number (Required.)

In the last 12 months, have you been involved in, or become aware of, a matter or circumstance that may affect your membership suitability, that has not already been declared to us? (Required.)