CERTIFIED ANTI-MONEY LAUNDERING SPECIALIST (CAMS®) Program Enrollment Form To enroll in the ACAMS’s certification program, the following information must be provided. This form and the fees listed are only applicable to applicants based in Macau. Personal Information (Please print using black or blue ink) Title: □ Mr. □ Ms. Name in Chinese _____________________________________ Please fill in the following information in ENGLISH ACAMS Member Number (If have)______________________________________________________________ Surname __________________________________Given Name _____________________________________ Date of Birth ________________________________ ID/Passport No.___________________________________ (DD/MM/YYYY) Company name ____________________________________________________________________________ Position _________________________________________________ Email_____________________________ Tel (Mobile) _________________________ Tel (Office) _____________________ Fax _____________________ Address ___________________________________________________________________________________ Active membership in ACAMS through payment of annual membership fee is required to maintain the ® validity of CAMS qualification. Page 1 of 2 Fee Structure (Please tick (✓) the appropriate box) Certification Program Individual Fee Exam Preparation Seminar in English or Chinese (Online e-learning program only) Exam Preparation Materials (In English, Chinese, on line study guide) CAMS Certification Exam (In English or Chinese) Membership Fee in USD Fee in MOP No Membership US$450 □ MOP3,645 □ No Membership US$450 □ MOP3,645 □ No Membership US$1,595 □ MOP12,920 □ US$2,495 MOP20,210 US$1,996 □ MOP16,168 □ US$1,287 □ MOP10,425 □ US$1,454 □ MOP11,778 □ US$1,611 □ MOP13,050 □ US$1,076 □ MOP8,716 □ US$1,035 □ MOP8,384 □ US$1,148 □ MOP9,299 □ US$1,251 □ MOP10,133 □ US$896 □ MOP7,258 □ TOTAL (after 20% savings) Certification Program Package Fee Private Sector, TOTAL (after 10% savings) Plus 1-yr membership Exam Preparation Seminar in English or Plus 2-yr Chinese (Online e-learning program only) membership Exam Preparation Materials Plus 3-yr (In English, Chinese, on line study guide) CAMS Certification Exam (In English or Chinese) membership ACAMS’s Member Government Sector, TOTAL (after 10% savings) Plus 1-yr membership Exam Preparation Seminar in English or Plus 2-yr Chinese (Online e-learning program only) membership Exam Preparation Materials Plus 3-yr (In English, Chinese, on line study guide) CAMS Certification Exam (In English or Chinese) membership ACAMS’s Member Payment Method (Please tick (✓) the appropriate box) Method 1 Method 2 □ Payment by Deposit Slip □ Payment by Cheque (please bank in the payment to the IFS’s account before submitting application) Please make cheque payable to “Macau Institute of Financial Services” Account Information Bank name: BNU A/C No.: 9002426490 A/C Name: Macau Institute of Financial Services Please submit the completed Enrollment Form to Macau IFS to the following address for processing of payment: Macau Institute of Financial Services Avenida Sidónio Pais no. 1-B Edif. Tung Hei Kok, R/C Macau Questions? Call IFS: +(853) 28568280 or ACAMS Member Services: +(852) 37507695 or E-mail: ifs@macau.ctm.net or yyeung@acams.org, Visit: www.ACAMS.org Page 2 of 2