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NZPICS 2016 CPIM Exam Re-Sit Enrolment Form

As at 26 July 2016

Please print your name carefully and check that spelling matches ID exactly (e.g. Passport). Please complete form in its entirety, particularly your date of birth and your APICS ID number.

Please complete all two pages of this form and email to: or return to: NZPICS Inc., PO Box 112-066, Penrose, Auckland-1642

Name: / Employer:
Home address: / Street Address:
Suburb: / Suburb:
City: / City:
Postcode: / Postcode:
Date of Birth: / Co. Postal Address:
APICS ID: / Suburb:
Position: / City:
Home Phone: / Postcode:
Mobile: / Work Phone:
Home Email: / Work Email:

Please indicate which CPIM Exam you wish to re-sit:

□ CBT Basics of Supply Chain Management (BSC)

□ CBT Execution and Control of Operations (ECO)

□ CBT Detailed Scheduling and Planning (DSP)

□ CBT Master Planning of Resources (MPR)

□ CBT Strategic Management of Resources (SMR)

Prices for Candidates Re-Sitting Exams
* Prices quoted are for members only and are subject to change. All prices are GST exclusive. / * Price
Excl GST / Tick
NZPICS Membership (Your membership is valid to 30 June, 2017) Required for all new students / $75.00
APICS Professional e-Membership - If you choose not to become an APICS Member, you have to pay Exam Re-sit – APICS Non-Member Price of $520.00 / $105.00
Exam Re-sit – APICS Member / $350.00
Exam Re-sit – APICS Non-Member Price / $520.00
Replacement Workbook – APICS Member (if course content changed significantly from original exam, check with office) Delivery fee maybe charged. / $150.00
Attend CPIM Tutored Class ( A Repeat Tutored Class)
ü  Must remain NZPICS Member
ü  Must have attended Tutored Class previously
ü  Third (Repeat) Course will be at the full price / $600.00
Subtotal / $
GST / $
Total Amount / $

Notes:

·  Current NZPICS policy is to offer the subsidised exam re-sit (+GST) and may be subject to change.

·  Prices quoted are for members only and are subject to change. All prices are GST exclusive.

Please address invoice to:

My company: / Purchase Order Number:
Accounts Payable
Contact Person: / Accounts Payable email address:
Myself: / Visa / Mastercard No:
Expiry Date: / Name on Card:

Exam Registration

·  There is now no exam registration deadline however students need to register for their Computer Based Test early to secure their exam sit. There are limited exam dates and times available each exam window

·  APICS Exam Credits are current for 6 months after purchase by NZPICS (Please refer to the current CPIM Examination Procedures Bulletin available on NZPICS Website.)

2016 Exam Windows (Please tick)

□ CBT Exam Window 1 - Saturday 19 March to Saturday 7 May 2016 - Closed

□ CBT Exam Window 2 - Saturday 4 June to Saturday 16 July 2016 - Closed

□ CBT Exam Window 3 - Saturday 13 August to Saturday 1 October 2016

□ CBT Exam Window 4 - Saturday 29 October to Saturday 17 December 2016

Exams (Please tick)

□ CBT Basics of Supply Chain Management (BSC)

□ CBT Execution and Control of Operations (ECO)

□ CBT Detailed Scheduling and Planning (DSP)

□ CBT Master Planning of Resources (MPR)

□ CBT Strategic Management of Resources (SMR)

Please note when registering for your Exam, APICS will ask about sharing your exam results. Please select “YES” to ensure NZPICS receives your Exam Information from APICS.

□ I agree to share my Exam Results with NZPICS.

NZPICS requires this information to ensure quality course delivery and to comply with NZQA Regulations.

(This information must match your ID)

First Name
Surname
Your primary contact email address
2016 Exam Window

Please visit our website www.nzpics.org.nz and read “APICS CPIM 2015 Exam Bulletin” prior to registering for an exam, as this contain important information including the exam process, reschedules, cancellation, etc.