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    The Chartered Institute of Taxation of Nigeria

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    harde2lah
    This document contains an application form for registration as a student of the Chartered Institute of Taxation of Nigeria. The form requests information such as the applicant's personal details, educational qualifications, employment details, references, and payment receipt. It consists of three parts - information provided by the applicant, endorsement by a referee, and a checklist for office use. The applicant declares that the information is correct and agrees to abide by the Institute's rules if accepted.

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    The Chartered Institute of Taxation of Nigeria

    Uploaded by

    harde2lah
    12 views4 pages
    This document contains an application form for registration as a student of the Chartered Institute of Taxation of Nigeria. The form requests information such as the applicant's personal details, educational qualifications, employment details, references, and payment receipt. It consists of three parts - information provided by the applicant, endorsement by a referee, and a checklist for office use. The applicant declares that the information is correct and agrees to abide by the Institute's rules if accepted.

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    This document contains an application form for registration as a student of the Chartered Institute of Taxation of Nigeria. The form requests information such as the applicant's personal details, educational qualifications, employment details, references, and payment receipt. It consists of three parts - information provided by the applicant, endorsement by a referee, and a checklist for office use. The applicant declares that the information is correct and agrees to abide by the Institute's rules if accepted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views4 pages

    The Chartered Institute of Taxation of Nigeria

    Uploaded by

    harde2lah
    This document contains an application form for registration as a student of the Chartered Institute of Taxation of Nigeria. The form requests information such as the applicant's personal details, educational qualifications, employment details, references, and payment receipt. It consists of three parts - information provided by the applicant, endorsement by a referee, and a checklist for office use. The applicant declares that the information is correct and agrees to abide by the Institute's rules if accepted.

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    You are on page 1of 4

    THE CHARTERED INSTITUTE OF TAXATION OF NIGERIA

    (Chartered by Act No. 76 of 1992)


    APPLICATION FOR REGISTRATION AS A STUDENT OF
    FOUNDATION AND PROFESSIONAL SCHEME

    Form No: PROF/0001

    For Office Use Only

    Students Reg. No
    To:

    Registrar/Chief Executive
    The Chartered Institute of Taxation of Nigeria
    3rd & 4th Floors,11, Ikorodu Road,
    Opposite Kresta Laurel Ltd., Maryland
    P.O. Box 1087, Ebute-Metta
    Lagos

    Affix two (2)


    certified Passports
    here

    PART 1
    (To be completed in full by the Applicant)
    1.

    SURNAMEMAIDEN NAME ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.

    2.

    OTHER NAMES .

    3.

    SEX ..

    4.

    DATE OF BIRTH

    5. (a)

    POSTAL ADDRESS ...


    ......
    (Use the address where posted mails can easily reach you)

    6.

    (b)

    HOME ADDRESS ..

    (c)

    TELEPHONE NO. ......

    (d)

    E-MAIL ADDRESS
    EDUCATIONAL QUALIFICATION(S) WITH DATES ..
    ..
    (Attach photocopies certified by your Referees)

    7. (a) FOR APPLICANT IN FULL TIME EMPLOYMENT


    i)

    EMPLOYERS NAME AND ADDRESS ..


    ..

    8.

    ii)

    NATURE OF EMPLOYERS BUSINESS .

    iii)

    DATE/YEAR OF EMPLOYMENT .. .(Attach letter of Attestation)

    iv)

    CURRENT POSITION ...

    DECLARATION BY APPLICANT
    I, . hereby declare that the information given on this form
    is correct and I agree to abide by the rules and regulations of the Institute if my application is successful.
    I enclosed the following necessary documents:
    i)

    Certified photocopy of Birth Certificate or Sworn Declaration of Age;

    ii)

    Certified photocopies of Educational qualification(s);

    iii)

    Certified photocopies of NYSC Certificate/NYSC call up letter or Confirmation letter of service from place
    of primary assignment.

    iv)

    Receipt/evidence of payment of a non-refundable fee of N 7,500;

    v)

    Two (2) 9 x 4 self-addressed stamped envelopes; and

    vi)

    Two certified photocopies of marriage certificate, where necessary.

    Signature

    Date

    PART II
    (To be completed by applicants Referee)

    10. REFEREES ENDORSEMENT


    1, the undersigned, certified that the information contained in this application form are to the best of
    my knowledge correct.
    I further state that the applicant, Mr./Mrs./Miss
    is of good character and in my opinion, a fit and proper person to be admitted as a student of the
    Chartered Institute of Taxation of Nigeria.
    SURNAME ...
    OTHER NAMES ..
    OFFICE NAME AND ADDRESS.

    ..
    TELEPHONE NO .. ..
    E-MAIL ADDRESS..
    MEMBERSHIP NO. STATUS ...
    (Associate or Fellow)
    SIGNATURE DATE ..

    (Please affix official rubber stamp here)

    PART III
    CHECK LIST
    FOR OFFICIAL USE ONLY
    VERIFIED BY

    DATE

    1. Certified Passport Photograph


    2. Certified Photocopies of Educational Certificate(s)
    3. Certified Photocopy of Birth Certificate/Age Declaration
    4. Evidence of Payment Receipt Attached:

    YES/NO

    Number Amount N .
    Date ..
    5. Official Remarks and

    (i) Application

    Signature

    accepted
    (ii) Application written
    to correct deficiencies
    (iii) Application
    Rejected
    (iv) Application
    recommended
    for approval
    (v) Application approved
    by Council on..
    (vi) Certificate dispatched
    on

    Note:
    1. The Institute does not permit change of names(s) except those consequent upon change in marital
    status in the case of women;
    2. Applicant must therefore ensure that he/she record his/her names in the same order and spelling in
    all his/her correspondence with the Institute;
    3. The minimum entry qualification for registration is a B. Sc or HND in any discipline from a
    recognized institution.
    4. For those submitting the completed form by hand, please call at our
    Secretariat Office
    3rd & 4th Floors,11, Ikorodu Road,
    Opposite Kresta Laurel Ltd., Maryland
    P.O. Box 1087, Ebute-Metta
    Lagos

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