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Associate Fellow Members (AFCMSA) of the Case Management Society of Australia & New Zealand (CMSA)
adhere to the CMSA National Standards & National Code of Ethics for Case Management in all their day-to-
day professional interactions with colleagues, the community, clients & /or representatives, key stakeholders &
employer thus contributing to the veracity, integrity & fidelity of the profession of case management.
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Declaration:
I solemnly and sincerely declare that the information I have
provided is true and correct to the best of my knowledge and belief.
I acknowledge that I must have accumulated a minimum of 72
hours of PTD activities as a pre-requisite to be eligible to apply for
recognition as an Associate Fellow of the CMSA pursuant to the
CMSA Associate Fellow Application Guidelines.
Signature:
_________________________________________
Date:
Attachment 3 - Professional Training and Development (PTD) Form B - Page 2 of 2