Registration Membership Categories and Qualifications KSCP is open to qualified members who wish to join us If qualified kindly fill the form below. Order Number Which Membership are you applying for? Kindly check appropriate membership category Membership Category * Student Graduate Associate Full Member Fellow Member Corporate Associate SECTION 1: GENERAL INFORMATION Title * Mr Mrs Prof Doc Others Surname * ID or Passport Number * Address Upload a copy of National ID or Passport (Only pdf format) First Name * Date of Birth * Phone Number * Email Address * For Corporate Membership Title Firm Name Telephone Number Mobile Number Email Address Registration Number Physical Address Postal Address Website Please attach a copy of registration certificate. Only pdf format SECTION 2: EMPLOYMENT HISTORY Title Firm Postal Address Office Telephone Number Email Address Name Resgistration Number Phone Number Website SECTION 3: ACADEMIC AND PROFESSIONAL QUALIFICATIONS Name of Institution * Certicate/Degree * Year * Name of Second Instution Certificate/ Degree Attained Year Name of Third Institution Certificate/Degree Year Professional Qualifications. (CPA, CPS, CHRM, CIB, DIPLOMAS etc.) Examination Body Qualification Attained Year Examination Body Qualification Attained Year Examination Body Qualification Attained Year Conference /workshop attended in the last 3 years (This part is optional) Course Year Organization Duration Number of CPD hours Course 2 Year Organization Duration Number of CPD hours Course 3 Year Organization Duration Number of CPD hours Area of Specialization/Expertise SECTION 4: REFEREES Please give the name and address of two referees to support your application. They should have knowledge about your professional responsibilities. They should not be related to you. Referee 1 Names * Place of Work * Position * Phone Number * Email Address Referee 2 Names * Place of Work * Position * Phone Number * Email Address * SECTION 5: ATTACHMENTS. NOTE: Only pdf format files are accepted
