Associate Membership To Fellowship of The Institute Form

Promoting Professional Ethics and Efficiency in Tax Administration and Practice in Nigeria

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Application for Transfer from Associate Membership To Fellowship of The Institute

I hereby apply to be elected a fellow of The Chartered Institute of Taxation of Nigeria.

PART 1:

Applicant's Surname:

Other Names:

Contact Address:

Membership Number:

Date of Admission as an Associate of The Institute:

Residential Telephone Number:

Email Address:

PART 2: (To be completed by members not in public practice (Administrators)

Employer's Name and Address:

Date of Admission as member of The Institute:

Positions Held Since Qualified and dates:

PART 3: (To be completed by members not in public practice (Practitioners)

Name and Address of Business:

Date of Commencement of Full Time Practice:

Declaration
I believe that the information given above are to the best of my knowledge and belief, accurate.

Date	Signature

	Type your name in full as signature.