Membership Registration - V2

Phone Number *

Gender *

Referrer

Date of Birth *

Nationality *

State of Origin *

Local Government Area *

Residential Address *

Associate Membership

Educational Qualifications

Title

Year of Graduation *

Certificate obtained *

Secondary School Attended *

Year of Graduation *

Certificate obtained *

Higher Institution Attended *

Year of graduation *

Course offered *

Certificate Obtained *

Final grade of certificate *

Professional Qualifications

Do you belong to professional institute like ours? *

Yes No

Professional Affiliation

Name of the institute *

Your status in the institute *

Your Membership number of the institute *

Year of qualification *

Working Experience

Present Nature of work *

Present Position/Rank *

Present Position Status *

Present Name and Address of the organisation *

Working Experience *

I Solemnly declared that all the information given by the organization in this application form are true and correct; that the institute has a constitutional right to verify from the corresponding authority regarding the authenticity of the attached Certificate of incorporation/registration claimed by us, that we will by all means abide by the constitutional BYE-LAW establishing the institute to maintain and to keep the professional codes of conducts/ethics as infused by ICPC, integrity and competence of “The Chartered Economists”

Membership Registration – V2