Register – CIFCFEN

SurName *

Other Names *

DECLARATION

Daclaration Name *

hereby declare that the statement made herein is correct to the best of my knowledge and belief, and agree to be governed by the Bye-Laws and such Regulation as are made by the Society for Forensic Accounting & Fraud Prevention.

Signature *

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Date *

NATIONALITY

country *

State of Origin for Nigerians

State of Origin for Non-Nigerians

State of Residence *

Contact Address *

Residential Address *

Date of Birth *

Phone Number *

Email *

Passport Photograph *

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CAREER HISTORY

Name and Address of Employer

Professional Qualifications and Date Obtained

Position Occupied

Period of Employment

Reasons for Leaving

EDUATIONAL HISTORY

Name of College/Polytechnic/University *

Period of Attendance *

Upload Credentials (PDF Formart) *

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SPONSORSHIP

(It is important to ensure that one of your sponsors is your immediate boss
in your present place of employment or your Managing or Principal Partner
in the case of applicants in private practice)

SPONSOR A

NAME OF SPONSORS *

BUSINESS ADDRESS *

SPONSOR'S EMAIL *

SPONSOR'S PHONE NUMBER *

PROFESSIONAL AFFILIATION *

GRADE/MEMBER NO *

SPONSOR'S SIGNATURE *

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SPONSOR B (OPTIONAL)

NAME OF SPONSORS

BUSINESS ADDRESS

SPONSOR'S EMAIL

SPONSOR'S PHONE NUMBER

PROFESSIONAL AFFILIATION

GRADE/MEMBER NO

SPONSOR'S SIGNATURE

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(with this certification, you have held yourself out as guaranteeing that this applicant is a fit and proper person to be admitted as a member of the Society for Forensic Accounting and Fraud Prevention)