Email : info@pisa.org.hk
URL : www.pisa.org.hk
IM: m.me/pisahkg

Professional Information Security AssociationIntroduction
Founded in 2001, the Professional Information Security Association (PISA) is a not-for-profit
professional body with the primary objective of promoting Information Security knowledge andmaintaining a code of ethics for its members.

Benefits for joining PISA
(Listed below are some of the many benefits enjoyed in recent years by our members.)
Networking and collaboration opportunities with other Information Security professionals and exchange
technical information and ideas.
Full member can have immediate access to professional recognition by using M@PISA designation.
Free or discounted admission to Association activities, including seminars, discussions and openforums, plus discounted attendance at IT related seminars and conferences organized or supported bythe Association.
Free @pisa.org.hk e-mail address forward for Full Member.

Membership Requirements
Requirements
Qualifications
Relevant Experience

Membership Type

Full Member

Recognized Degree in a Computing
Discipline
Or
Other educational or professional
qualification that is considered appropriate

3 years Info-Sec working
experience

Associate Member

Tertiary Education

Info-Sec relatedexperienceAffiliate Member

Interested in furthering any of the objects ofthe society

NilNote: Relevant computing experience (post-qualifications) will be counted, and the recognition ofprofessional examinations / membership is subject to the review of the Membership Committee

Membership FeeMembership Type

1 Year Membership 3 Years MembershipFee (HK$)Fee (HK$)

Full Member

500

1,500

Associate Member

300

900

Affiliate Member

300900. An organization for information security professional .
2021-08

Email : info@pisa.org.hk
URL : www.pisa.org.hk
IM: m.me/pisahkg

Professional Information Security Association
FOR OFFICE USE ONLYMEMBERSHIP APPLICATION FORM

Application Ref:
Membership No:
Membership Class:Approved By:
Processed By:

Part IPERSONAL INFORMATION (Note 1)
Family Name:

Given Name:

Gender: M / F

Chinese Name:HKID Card No.:( )Date of Birth:(DD/MM/YYYY)

Non-resident’s Passport No.:

Nationality:

Company Name:

Position:

Company Address:

Home Address:

Mailing Address:
Office Tel. No:

OfficeHomeExt.

Office Fax No:
Mobile Phone:Home Tel. No:
Home Fax No:

Pager:

Email:

ACADEMIC QUALIFICATIONS (Copies of certificates and transcript must be attached - only highest 3)
Academic Qualification AttainedDate AttainedCountry
University/Institute/College(DD/MM/YYYY)

PROFESSIONAL QUALIFICATIONS (Copies of certificates must be attached - maximum 5/relevant to application)
Professional Qualification
Membership GradeCountry
Professional Body& Number. An organization for information security professional .
2021-08

Email : info@pisa.org.hk
URL : www.pisa.org.hk
IM: m.me/pisahkg

Professional Information Security Association
EMPLOYMENT HISTORY (Certification of employment must be attached - last 3 employment)
Period (Month, Year)
Name of Employer
Position

Info-Sec Related Experience- Current

Total Years of IT Experience

PAYMENT METHOD
1.

By Bank Deposit to PISA accountHang Seng Bank Account No. 773-023759-001 (please enclose copy of bank deposit slip)

DECLARATION
1.

I hereby apply for being a:
Full Member

Affiliate Member

2.

I shall3.

If admitted to the Association, I undertake to be bound by the Constitution of the Association, as amended from time to time.

4.

I understand that the Membership Committee of the Association reserves the right to approve or reject the membership
application of any individual.

5.

I understand that my personal data is collected for the Association’s administration and correspondence purpose only. Those
data might be used to inform me on IT related activities organized by the Association and other organizations.

6.

If admitted to the Association, I shall subscribe to the Code of Ethics. If violates any provision of Code will be subject to action byreview panel, which may result in revocation of membership.

7.

I understand that application fee is non-refundable after membership approval.

Signature

acceptnot accept

Associate Member

another class of membership if I am not qualified for the class which I apply.

Date. An organization for information security professional .
2021-08

Email : info@pisa.org.hk
URL : www.pisa.org.hk
IM: m.me/pisahkg

Professional Information Security Association
Personal Data (Privacy) Notice - Use of Personal Data
People who supply data in their application to the Professional Information Security Association are advised to note thefollowing points, pursuant to the Personal Data (Privacy) Ordinance:
1. Personal data provided in this application form will, during the entire process, be used solely for this purpose, and in
this connection, the data will be handled by the Association’s staff or by any Executive Committee members of theAssociation who is directly involved in the administration of this application.
2. Applicants are advised to provide all the information requested in the relevant documents, where applicable, failingwhich the Association may be unable to process and consider their applications.
3. After the applications have been processed and the relevant exercise completed:(a) the information collected from unsuccessful candidates will be destroyed;(b) the application papers of successful candidates will become part of the file which the Association opens for eachmember.
4. Under the provisions of the Personal Data (Privacy) Ordinance, applicants have rights to request access to, and torequest the correction of, their personal data. Applicants wishing to access or make corrections to their data should
submit written requests to the Director of Membership Administration of the Professional Information Security
Association.

Declaration
1. I have noted the general points pursuant to the Personal Data (Privacy) Ordinance.
2. I authorize the Professional Information Security Association or any other office that is directly involved in theadministration of this application to use, check and process my data as required for my application.
3. I understand that upon successful application, my data will become a part of my member record and may be used
for all purposes as prescribed under relevant rules and regulations, so long as I remain member of this Association.
4. I declare that the information given in support of this application is accurate and complete. I understand that any
misrepresentation will disqualify my application.
5. All members will become the members of ISC2 Hong Kong Chapter.

Signature:

Date:

NOTES
1.
Please fill in all sections in BLOCK letters. In case any section of the Application Form is not applicable, please putin N/A. The application MUST be attached with a payment covering the first year annual fee and entrance fee.
Please refer to the Membership Fee table. Subscription is due on end June of next year.
2.

Please scan the signed form and correspondence support documents with the bank deposit slip e-mail tomembership@pisa.org.hk.

3.

Processing time for Membership application is at least 3 weeks.

. An organization for information security professional .
2021-08