APPLICATION FOR Professional Student Registration

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

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Mr. J.F.S Jegede
FCTI
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FCTI
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Application for Professional Student Registration

The form should be completed in full.

Applicant's Surname:

Other Names:

Sex:

Date of Birth:

Postal Address: (Use the address where posted mails can easily reach you)

Home Address:

Telephone Number:

Email Address:

Educational Qualifications with Dates:

For Applicants in Full Employment:

Employer's Name and Address:

Nature of Employer's Business:

Date of Employment:

Post Occupied by Applicant:

Insert your passport photo here

Declaration by Applicant
I hereby declare that the information given on this form is correct and I agree by the rules and regulations of the Institute if my application is successful

Date	Signature

	Type your name in full as signature.

NOTES

After completion, print out the form and mail it to the Institute accompanied with all the documents stated below.

1) Certified photocopy of Birth Certificate or Sworn Declaration of age
2) Certified photocopies of Educational Qualifications
3) Certified photocopy of Birth Certificate or Sworn Declaration of Age
4) Certified photocopies of NYSC Certificate/NYSC call up letter or Confirmation letter of service from place of primary assignment
5) Two (2) certified recent passport photograph.
6) Two (2) 9" x 4" self-addressed stamped emvelopes.
7) Two (2) certified photocopies of marriage certificate where necessary.

You will be required to pay the amount stated below:

Building Level: N2,000
Processing fee: N3,000
Form fee: N2,500