EXAM FORM4 Form Fee – Shs.20,000/= (NBAA) THE NATIONAL BOARD OF ACCOUNTANTS AND AUDITORS TANZANIA National Audit Office “Audit House” 8 th Floor, 4 UKAGUZI ROAD P.O. Box 1271, 41104 TAMBUKARELI DODOMA. Tel. +255 26 2963318-9 Email: info@nbaa.go.tz Mhasibu House Bibi Titi Mohamed Street P.O. Box 5128, DAR ES SALAAM Tel. +255 22 11890-9 Mobile 0736-218031 Email: info@nbaa.go.tz INTERMEDIATE STAGE EXAMINATION ENTRY FORM B efo re fillin g i n this for m, p lease st ud y care full y the exa mi na tio n p ro ced ures and regulations a s stip ulated in the “ Sy llab us ” and “E xa mina tio n & Tr a ining B y la w s” . 1. CANDIDACY REGISTRATION NUMBER (CR.NO.) 2. NAME SURNAME (LAST NAME) FIRST NAME OTHER NAMES (INITIAL(s) 3. ADDRESS FOR POSTING EXAMINATION ADMISSION LETTER/RESULTS LETTER/LEARNING MATERIALS. Postal Address: Email (Write your email legibly) Postal Address: Email: Phone No: Landline No. 4. I wish to sit for the Examinations to be held in MONTH 5. YEAR I hereby apply to sit for the following subject(s) (Tick the appropriate subject(s) 5.1 INTERMEDIATE LEVEL (Skills and Analysis Level) EXAM TICK EXAM SUBJECT SUBJECT CODE () CODE Financial Management Public Finance and Taxation B1 B4 B2 Financial Reporting B5 Performance Management B3 Auditing Principles and Practice B6 Management, Governance and Ethics 6. Preferred Examination Centre (See Note I) overleaf 7. Certification by Institution: I certify that the applicant is attending review classes at this centre and is adequately prepared to sit for the examination paper(s) applied for Duration of Training: from............................………...................... to............................................……... Date:....................................…………............. ……….............................................................……..... Signature of Co-ordinator of the Programme (with official stamp) TICK () 8. CLOSING DATE: MAY EXAMINATION SESSION NOVEMBER EXAMINATION SESSION 15TH FEBRUARY 15TH AUGUST 9. PENALTY FEE FOR LATE SUBMISSION OF CANDIDACY AND EXAMINATION ENTRY APPLICATIONS AFTER CLOSING DATES MODE OF PAYMENT MAY EXAMINATIONS NOVEMBER EXAMINATIONS Payment with 50% penalty 16th February – 28th February 16th August – 30th August Payment with 100% penalty 1st March – 15th March 1st September -15th September NB: NO APPLICATION for examination entry shall be accepted after 16th March /September 10. I hereby enclose Tshs ………………………being payment of examination fee the paper(s) applied for under paragraph 5 above. 11. Mode of payment: Iam submitting my payment in the form of Cheque/Visa Card/Mobile money transfer No……………. ………………………Dated…………………………………………………... Direct Bank Deposit, Amount transferred:Tshs ……………… (Attach Original Bank Pay in Slip) NB: Do Not post cash. Cheques should be crossed A/C payee only. 12. DECLARATION BY THE APPLICANT: I…………………………… have read and agreed to abide the Examination Regulations and By laws of the Board and accept that any false information provided by me will invalidate my application. 2 13. EXAMINATION FEES PAYABLE Examination Fees Intermediate (single subject) Shs.130,000.00 Repeated subject Shs.90,000.00 *Non Citizens will be charged double the applicable rate. Signature: ...........................................…… Date:....................................................…….. FOR OFFICIAL USE ONLY Examination fee shs. ………………………. Receipt No:......…...……..........date:............................... Exemption fee shs.................………..............Receipt No:..........….…............date:..................... .......... Subscription fee shs......…………...................Receipt No:..….........….......... date:............................... Candidacy registration fee shs. …………..… Receipt No: ………...…..…...date: …………………... ENTRY APPROVED/NOT APPROVED on the following grounds: ...............................................................................………....................................................................... Executive Director:......................….................................... ............................................................... Stamp:...............................................................…....................................................... ......................... Date:......................................………………………………………………………………………….. *Delete as appropriate This application is NOT VALID without Executive Director’s stamp and Signature. 3 NOTES FOR GUIDANC: 1. Current Examination Centres: Arusha, Dar es Salaam, Dodoma, Mbeya, Morogoro, Moshi, Mwanza, Tanga Zanzibar, iringa and Tabora. 2. Incomplete forms or those which have not been accompanied by the sufficient examination entry fees shall not be processed. 3. Examination entry application forms by candidates whose annual subscription fees are in arrears will not be processed. 4. Postponement/withdrawal from the examinations should be made on or before the closing date whereby full fees willbe transferred to the immediate examination session. 5. Any cheque which is dishonoured due to lack of funds or for any other reason will result into the candidate being withdrawn from the Board’s examinations. 6. Candidates are strongly encouraged to pay their examination fees early to avoid queues and uncalled for inconveniences on the last day. 7. Payment of Examination fees/form fee can be made through bank deposits at any CRDB BRANCH to NBAA COLLECTION ACCOUNT NO.01J 100 555 3500 – CRDB BANK, VIJANA BRANCH, MOROGORO ROAD, DSM. The Pay–in–slip should be attached with the Candidacy Registration Form/Examination entry form and submitted to NBAA. A photocopied pay-in slip is not acceptable. Payment is made through Government e-Payment Gateway (GePG) using a Control Number. MORE DETAILS ABOUT HOW TO PAY REFER PAGE NUMBER 5. 8. In filling the form, use BLOCK LETTERS. It is important to write your three names in full starting with your LAST NAME. 9. Please note that our records will be maintained on the basis of your last name and the order of names given in your Candidacy Registration forms. Therefore, your names will appear on Certificate(s) to be awarded to you by the Board in that order. (a)Names that you use are those which appear on the certificate(s) attached with your application forms for registration with the Board. (b) The Board shall not accept any request for change of name once an application for Candidacy Registration and/or Examination Entry has been lodged. 10. Mailing Address The address indicated under para (3) on the first page of this form shall be the official contact address between you and the Board. Should you desire to have a different address, kindly notify the Board accordingly. 11. Any form submitted to NBAA without the original Bank Pay-in-slip and/or Cheque will not be processed. 12. Applications to examination entry should be made on NBAA printed forms only and that photocopied/faxed shall not be accepted for purposes of registration. 13. International students shall be required to pay double the applicable rate 14. A candidate shall not be allowed to proceed to the next level of the examination unless he completes the lower level. 15. A candidate is advised to fill an appropriate examination level and papers to be attempted 16. Any examination entry form submitted after deadline shall be liable for penalty regardless of the time payments were made. 17. Please note that, fee for processing examinations entry is Tshs 20,000/= which should be paid to NBAA and not to the Tution Providers. 4 PROCEDURES FOR MAKING PAYMENTS Step 1: Enter into NBAA Payment Portal i.e. http://portal.nbaa.go.tz Step 2: Click on ‘sign up’ menu for registration Step 3: You will receive an email that will enable you to put a pass word Step 4: After completion of registration, your details shall be accessed by NBAA and you will receive an email for verification Step 5: Open your payment account Step 6: Click on ‘payments’ and then click on ‘Request Bill’ Step 7: Select the type of payment then click on ‘General Bill’ Step 8: Click on ‘My Payments’ for you to see your Control Number for making payments Step 9: Verify you Control Number and follow the procedures For the payments that are not streamlined such as accumulated subscription fees please contact us through mets@nbaa.go.tz or call 0736 – 21 80 31 How to make payments after getting control number Step 1: Use your control number to make your payments through CRDB or NMB bank. You have to submit your Receipt together with Registration Forms to NBAA OR Step 2: You can make payments through mobile phones (M-Pesa, Tigo-Pesa or Airtel Money) - From your phone call *150*00#, *150*01# or *160*60# respectively. - Select ‘Pay Bills - Enter your Control Number - Enter the amount of money - Enter your Pass Word - Save your massage for future reference NB: You have to print a copy of your receipt and submit to NBAA or send through postal address below: Executive Director, National Board of Accountants and Auditors, National Audit Office, “Audit House” 8th Floor, 4 UKAGUZI ROAD, P. O. BOX 1271, DODOMA, TANZANIA Mhasibu House Bibi Titi Mohamed Street P.O. BOX 5128, DAR ES SALAAM 5
