CIIA Final Exam Application Form

CIIA Final Exam
Application Form

PLEASE NOTE:

Passport photograph with white background showing both ears.
Photocopies of certificate claimed, detailed curriculum vitae and birth certificate/sworn affidavit must be attached to the application.
Candidates seeking registration will be required to pay an CIS Application Fee of ₦21,000 and CIIA Application Fee of ₦85,000.
All * fields are compulsory.

Personal

Academics

Careers

Next of Kin

Attachments

Payment

1. Personal Details

* Affix Passport:

Choose Passport

Requirements:

Picture dimension must not be less than 2 X 2 inches (or 192px X 192px).
Picture size must not be more than 2MB.

* Title:

* Surname:

* Firstname:

Other Name(s):

Marital Status:

Former Names (if any):

Date of Change:

* Residential Address:

Postal Address:

* Email Address:

* Phone Number:

* Date of Birth:

* Nationality:

* State of Origin:

2. Academic Qualification

Institute Category:

Awarding Institution:

Qualification:

i.e. BSc, MSc

Date:

Add

3. Careers

Work Details (if currently employed)

Firm Name:

Job Title:

Department:

Firm Address Line 1:

Firm Address Line 2:

Telephone:

Work Email:

Career History

Firm:

Address:

Date:

Add

Professional Qualification Obtained with Dates

Professional Institution:

Certificate Obtained:

Type certification name, i.e. ACA, etc.

Date:

Add

4. Next of Kin

Name:

Phone:

Address:

Email:

5. Attachments

PLEASE NOTE: Each attachment must not exceed 2MB in size, anyone above 2MB will not upload. Only PDF and DOC format allowed.

Attach Document:

Document Name:

Add

6. Previous Registration, Declaration and Payment

Previous Registration with CIS

Have you previously applied for registration with the Institute?
Yes No

Declaration (Please tick appropriately)

All candidates must notify the institute immediately of any significant changes in the information provided in this application form which occur after the date of submission of the application and prior to receiving notification of the Institute's decision thereon.

I have not been adjudged bankrupt or insolvent or compounded with my creditors and I am not currently subject to disciplinary Procedures.

Misleading or attempting to mislead the Institute on any point will be deemed an act of and may render the candidate, if admitted, liable to disciplinary proceedings.

I apply to become a student member of the Chartered Institute of Stockbrokers and agree to abide by the Institute’s Act 105 of 1992, and by the rules and regulations in force at the time of my application and subsequent rules and regulations which may thereafter from time to time be made by Council of the Institute. Any breach of the Rules may give rise to disciplinary procedures and termination of my membership.

I know of no reason why I should not become a student member

Payment

Payment Breakdown:

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Terms and Conditions

By completing this application, you agreed to our Terms and Conditions.

Online Application Portal