Chartered Member application

I wish to apply for upgrade to Chartered Member, and confirm that I meet the criteria in Appendix B-4 in the Constitution of the Institute of Directors

A qualifying organisation has separate executive and governance functions, in the opinion of our council. For example, a qualifying organisation would have, in the council’s opinion, a meaningful separation of the roles of senior managers from those of members of the board of directors.

The organisation’s size and sector do not matter – not-for-profit, school, and trust board members can qualify.

We need the full legal name of the organisation, including the company number (or charity number) and your role must be a governing role ie. Board Member, Director, Trustee, Independent Director, Executive Director etc.

ie. Board Member, Director, Trustee, Independent Director, Executive Director

If you are unable to confirm any of the following please contact the Registrar to make a disclosure. Please note your rights under the Criminal Records (Clean Slate) Act 2004 before providing details of any criminal record.

I hereby confirm, for the purposes of admission as a Chartered Member of the Institute of Directors in New Zealand (Inc) (the Institute), that:

1. I will uphold the principles of the Charter of the Institute of Directors.
2. I am of good character*. (Subject to the disclosures previously made in writing by me to the Council of the Institute) I,

a) have not been convicted of any crime in New Zealand or elsewhere;
b) have not been found by a court of competent jurisdiction, whether in New Zealand or elsewhere, to have acted inconsistently with any of my duties as a director or any of my fiduciary duties in any other capacity;
c) have not been found by a court of competent jurisdiction, whether in New Zealand or elsewhere, to have acted (or failed to act) in a manner constituting serious wrongdoing or to have aided, abetted, counselled, or procured any other person to do so;
d) have not brought the Institute into disrepute or acted in a manner materially inconsistent with the Charter;
e) have not previously been denied membership of any professional body;
f) am not the subject of any current disciplinary action in respect of any profession or occupation or before any court martial or armed services disciplinary officer, or been the subject of any such action which has resulted in me being found to have failed to act in accordance with any applicable relevant standard;
g) have not at any time, whether in New Zealand or elsewhere:

i. been prohibited from being a director of any entity or being concerned or taking part in the management of any entity, or
ii. been party to or the subject of any enforceable undertaking or other arrangement with any regulatory body under which I may not be a director of any entity or concerned or take part in the management of any entity; and

h) accordingly am a fit and proper person to be a Chartered Member of the Institute.

3. I (will satisfy/satisfy) the applicable CPD requirements (as defined in The Constitution and CPD Code) required for membership as a Chartered Member of the Institute.

_{*The Council of the Institute are conferred unfettered discretion over the definition of good character.}

Excerpt from The Charter of the Institute of Directors

For the purposes of entry into the category of Chartered Member of the Institute of Directors in New Zealand (Inc) (the Institute) I hereby confirm the above.