Practising License Application

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

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Application Form Practising License

I hereby apply for a license to practise as a Chartered Tax Practitioner, and wish to submit the following particulars.

Applicant's Surname:

Other Names:

Postal Address:

Admission Number:

Email Address:

Membership of a recognised Professional Taxation body to which you belong and date:

Have you obtained a Practising License from the body named above?
If so, foward a copy of the certificate(s) to the Institute.

Name and address of Practising Tax Firm where Approved Training was obtained with dates. You are to provide following information:

1. Names of Principal(s)
2. Name and Address(es) of ractising Firm(s)
3. Dates (Period)

Are you joining an existing practice?

Are you commencing your own practice?

	Practice name:

Is the practice a partnership?

If so, give name(s) of other Partner(s)

Proposed Address of the Practice:

If in salaried employment, state Name and address of employer:

Do you propose to commence part time practice?
If so, when:

Do you authorise the Institute to advise your employer on issue of a License to Practice?

If No, State reasons:

Declaration
I declare that the information given above are to the best of my knowledge and belief correct.

Date	Signature

	Type your name in full as signature.