• Application for Enrolment: Non-Member Participant

    Please apply in the form below.

  • Form Nr: CPD424

    Last Revised: April 2026

    Version: 9.1

  • Personal/Residential Details

  • Date of Birth*
     / /
  • Is your postal address the same as above?*
  • Format: (000) 000-0000.

  • Professional Details

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Workplace Type*
  • Are you working in an EM Department?*
  • Employment Type*
  • Current Practice *
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  • Position Details

  • Start Date
     - -
  • Is your position:

  • Medical Board Registration Details

  • Select the medical board/s you are registered with*
  • Format: (000) 000-0000.
  • Valid Until*
     - -
  • Format: (000) 000-0000.
  • Valid Until*
     - -
  • Have you had a previous CPD Home?*

  • Membership of Other Colleges

  • Are you a Fellow of another College?*
  • Please signify which:*

  • Application Fee

  • Intake period Australia ($) Aotearoa New Zealand ($)
    Full CPD year January to December 2026 665 605
    First half of CPD year – January to June 2026 332.50 302.50
    Second half of CPD year – July to December 2026 332.50 302.50
  • Please select your admission period and country of residence:*
  • Do you have a CPD home for the second half of the CPD year?*
  • Did you have a CPD home for the first half of the CPD year?*

  • As per your CPD obligations from MBA and MCNZ we recommend selecting a full year of CPD to meet your requirements

  • My Products*

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    AUD
    Credit Card Details

  • I, the cardholder named above, authorise ACEM to debit my credit for the amount indicated in the relevant Fee Schedule above.

  • Date*
     - -
  • Should be Empty: