ComputerBasedTestingApplicationfortheNovember2015AdministrationofExamP

RegistrationDeadline:October1,2015NOLATEAPPLICATIONSWILLBEACCEPTED.

CanadianInstituteofActuaries

Detailsforcompletingthisapplicationareonthereverseside.PleasePRINTallinformation.

ForOfficeUseOnly:CANDNO.

IDNO.

IhavepreviouslyregisteredforexamswiththeSOA:YesNoCheckyourprimaryaddress:HomeWorkIfadifferentnamewasusedonapreviousapplication,printithere: DateofBirth ______ ______ ____________Month Day Year

LastName/FamilyName/Surname FirstName MiddleName Suffix

PrimaryA

ddress

OrganizationName(onlyifacompanyaddress)

StreetorP.O.Box

City State/Province Zip/PostalCode Country

Business/HomeTelephone MobileTelephone EMail(Required)

Idonotwishtoreceiveinformationfromthirdpartyvendors. Iwishtoreceiveexamresultsviatextmessagetomymobiletelephone.(OnlyavailableforU.S.andCanadabasedmobilephonecarriers.)

Scho

ol

Printschoolnameifcurrentlyenrolled City/State/PostalCodeUndergraduateGraduate Degree/AnticipatedDegree/Expected

YearofGraduation

Exam

OutsideCanada:ExamP(PENL)byCBT:November718, 2015 examwindow

FeeUS$225INTLDiscountFeeUS$190(QualifiedCountries)

InCanada:ExamP(PFRL)byCBT:November718,2015,examwindow(FeeUS$225)Canadianresidentsadd5%GST,PE14%,NB,NL,ON13%NS15%GST/HST

Signature

(Required)

Ihavereadtherulesandregulationsconcerningtheexamination(s)forwhichIamapplyingandagreetobeboundbythem.IacknowledgethatIhavereadandagreetoadheretotheSOACodeofConductforCandidates.Ialsoagreethattheresultsofanyexamination(s)whichItake,andanyactiontakenasaresultofmyconduct(suchasirregularity,violationorcheating,andanyhearingsthereon)may,atthesolediscretionoftheSOA,bedisclosedtoanyotherbonafideactuarialorganizationthathasalegitimateinterestinsuchresultsand/oractions.Signature:___________________________________________________

Paym

ent

Ifpayingbycreditcard(IndicateOne):AmericanExpressMasterCardVisa(Candidatespayingbycreditcardareencouragedtouseonlineregistration)AccountNumber:__________________________________________CVV2Number(Required):________ExpDate(Required):_________CardholdersName_____________________________________CardholdersSignature(Required):_______________________________Cardholdersbillingaddress(ifdifferentfromapplicants):_____________________________________________________________________________________________________________________________________________________________________________________

Mailcheckormoneyorderwithapplicationto:

PreliminaryActuarialExaminationsP.O.Box95600

Chicago,IL606945600

ALLOVERNIGHTDELIVERIESPreliminaryActuarialExaminations

c/oSocietyofActuaries,CustomerServiceCenter475N.MartingaleRoad,Suite600

Schaumburg,IL60173Applicationformsmayalsobefaxedto:+18472738529

InstructionsforCompletingApplicationforComputerBasedTesting

RegistrationDeadlineforNovemberExamPOctober1,2015

PleasePRINTallinformation.PleaseallowTENWORKINGDAYSfortheapplicationtoarrive;otherwise,theuseofanovernightcourierisstronglyrecommended.PostmarkdateswillNOTbeconsidered.ApplicationsreceivedafterthedeadlinewillNOTbeaccepted.Latecandidateswillbecontacted regarding their registration status.Lateapplicationswillbe returned to thecandidatewitha full refund.Whenusinganovernightcourier,sendapplicationdirectlytotheSOAstreetaddress(seedirectionsforcreditcardpayments)asacourierwillnotdelivertoapostofficebox.CANDIDATENAMEandPREFERREDADDRESS IndicateifyouhaveregisteredpreviouslyforanexamwiththeSOAbycheckingyesorno. Ifyouusedadifferentnameonyourlastapplication(e.g.,amaidenname),printthatnameinthespaceprovided. Printyourfullnameas itappearsonyourgovernment issuedID,yourdateofbirth,address,daytimetelephonenumber,andvalidemail

address.SCHOOLINFORMATION Ifyouarecurrentlyenrolledinacollegeoruniversityprogram,printyourschoolname,city,state,andpostalcodeinthespacesprovided. Indicateyourstudentstatusandtheyearinwhichyouexpecttograduate.INTERNATIONALDISCOUNTPROGRAM DetailsregardingExaminationandStudyMaterialFeeDiscountProgramcanbefoundathttp://www.soa.org/education/general

info/registration/eduexaminationfeediscount.aspxRECEIVINGEXAMRESULTSVIATEXTMESSAGE ThisfeatureisavailableonlyforUnitedStatesandCanadabasedmobilephonecarriers.Bycheckingthebox,youagreetoreceiveresultsfor

allexamsviatextmessage.Inordertoreceiveatextmessageyoumustenteryourmobiletelephonenumber.Pass/Failresultswillbesentvia textmessage after passing candidate numbers are released. Individual scoreswill not be delivered via textmessage. Standard textmessagingratesapply.

EXAMINATIONDISCIPLINE DisciplinaryrulesarepublishedontheSOAWebSitehttp://www.soa.org/education/generalinfo/EXAMINATION Registerfortheexambyplacingacheckmark()infrontoftheappropriateexam.AllexamsareadministeredinEnglishexceptinCanada.

ForalltestcentersinCanada,examsarebilingualwithquestionsviewedinEnglishwithanoptiontoswitchtoFrench.SCHEDULEYOURAPPOINTMENTATTHETESTCENTER After your registration has been processed, you will receive an automatic acknowledgement letter by email that includes your

candidate/eligibilitynumberforthisadministration.Thecandidate/eligibilitynumberincludedontheautomatedacknowledgementwillNOTbe activated immediately.Once thenumberhasbeen activated, SOAwillemail you a letterof confirmation.At that time, you shouldimmediatelymakeanappointmentataPrometriccomputerbasedtestingcenter.Detailswillbeprovidedwiththeconfirmation.

EXAMINATIONFEES Examfeesmaybepaidbycheck,moneyorder,orcreditcard(AmericanExpress,MasterCard,orVisa).Checksshouldbemadepayableto

PreliminaryActuarialExams.Applicationsshouldbesenttotheappropriateaddress listedonthefirstpage.Feesmustbe inU.S.fundsorequivalent.LettersofConfirmationusedforschedulingappointmentsarenotreleaseduntiltheaccount ispaid infull.NOTE:Theamountbilledtoan individualscreditcardwillbeautomaticallyadjustedforpersonswhomiscalculatetheamountdue.Feesarenottransferablefrom one session to another. Candidates with a balance due will not be permitted to register for future examination sessions untiloutstandingdebtsarepaidinfull.

Ifpayingbycreditcard,thecandidatemustincludetheCVV2number(seedetailsbelowunderAdditionalCreditCardInformationCVV2Number).

A$25feewillbeassessedonanychecksreturnedduetoinsufficientfunds. NOREFUNDS:PreliminaryActuarialExams/SOAdoesnotofferrefundsforitsexaminations.NopartofafeepaidtothePreliminaryActuarial

Exams/SOA forexamination registrationwillbe refundedor transferred toa laterexamperiodshould thecandidatenotappear for theexam.ThePreliminaryActuarialExams/SOAdoesrecognize thateventsmayoccur thatareoutsideacandidatescontrol. In thosecases,therearetwooptionsthatmaybeavailable: ReschedulingOptions forCBT: Because computerbased exams are administered over several days, candidates have the option to

rescheduletheirtestappointmentwithinthesametestingwindowprovidedthattherequestismadebynoonofthesecondbusinessdaybeforethescheduledappointment,andalsoprovidedthereisaseatavailable.TorescheduleaCBTappointment,candidatesmustfollowthedirectionsprovidedathttp://www.soa.org/Education/ExamReq/ExamDayInfo/educbtaddrules.aspx.

EmergencySituations.PreliminaryActuarialExams/SOA recognizes thatunforeseenemergenciesmayoccur thatdirectly influenceacandidatesabilitytotakeanexamonanappointedday.Wewillconsiderthesesituationsonacasebycasebasis.CandidatesfindingthemselvesinsuchasituationshouldcontactSOACustomerServiceatcustomerservice@soa.org

SIGNATURE Inorderforthisapplicationtobevalid,yoursignaturemustappearonthefrontofthisapplication.

CHANGEOFADDRESSand/orEMAILADDRESS

LogintoMySOAfromourhomepage,www.soa.orgtoupdateyourrecordasneeded.IfyouexperienceanydifficultiescontacttheSOACustomerServiceCenteratcustomerservice@soa.orgor+18886973900forassistance.

ADDITIONALCREDITCARDINFORMATIONCVV2NUMBERHowtofindyourcreditcardsCVV2number:OnaVisaorMasterCard,pleaseturnyourcardoverandlookinthesignaturestrip.Youwillfind(eithertheentire16digitstringofyourcardnumber,ORjustthelast4digits),followedbyaspace,followedbya3digitnumber.That3digitnumberisyourCVV2number(seebelow).On American Express Cards, the CVV2 number is a 4digit number that appears above the end of your card number (see below).WhatisCVV2?CVV2isasecuritymeasurewerequireforalltransactions.SinceaCVV2numberislistedonyourcreditcard,butisnotstoredanywhere,theonlywaytoknowthecorrectCVV2numberforyourcreditcardistophysicallyhavepossessionofthecarditself.AllVISA,MasterCardandAmericanExpresscardsmadeintheUnitedStateshaveaCVV2number.Visa&MasterCard:

ThisnumberisprintedonMasterCardandVisacardsinthesignatureareaofthebackofthecard.(itisthelast3digitsAFTERthecreditcardnumberinthesignatureareaofthecard). If you cannot read your CVV2 number, you will have to contact the issuinginstitution.

AmericanExpress:

AmericanExpresscardsshowtheCVV2printedaboveandtotherightoftheimprintedcardnumberonthefrontofthecard.

NOTE:ForEuropeanorAsiancreditcardsthatdonothaveaCVV2number,pleaseenter000asyourCVV2number.

RetainyourcandidatenumbertoaccessresultsontheSOAWebSites.

Ifyouneedassistance,youmaycontacttheSOACustomerServiceCenter+18886973900betweenthehoursof8:00a.m.and5:00p.m.centraltime.

YoumayalsoemailyourmessagetotheSOACustomerServiceCenteratCustomerservice@soa.org.

UpdatedAugust2015

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