MEMBERSHIP REGISTRATION FORM

MEMBERSHIP REGISTRATION FORM

Full Name Please
DD / MM / YYYY

QUALIFICATIONS

Enter in this format :: EXAMINATION BODY / DATE / EXAMINATION PASSED. e.g.
1. ICA / 2010 / ICAN
2. ACA / 2012 / ACCA
Enter in this format :: NAME OF INSTITUTION / PERIOD OF ATTENDANCE / EXAMINATION PASSED AND QUALIFICATION OBTAINED WITH DATES. e.g.
1. UNILAG / 4YRS / FINAL EXAMS - BSC 2007
2. UNICAL / 2YRS / MSC - 2009
Fill in details of all professional bodies you are a member of above
Give Details of your Professional Experience in Arbitration:

DECLARATION
I pledge to conduct myself strictly in compliance with the rules and conduct to abide by the laws and bye-laws of the society of construction industry arbitrators.

I pledge and accept *

REFEREES: (Must be Corporate Financial Members of the Society)
Original Certificates must be sighted before attestation.

First Referee

Second Referee


Please send cheque or proof of payment to: constructionarbitrators@gmail.com
Or
Society of Construction Industry Arbitrators,
No. 5, Simpson Street, (SHOBO HOUSE) 1st Floor, near High Court of Lagos State, Igbosere Road, Lagos Island, Lagos.

Bank Details –
• Account Name: Society of Construction Industry Arbitrators

• Account No:1007391531
• Bank: UBA
Cheques should be issued in favor of “Society of Construction Industry Arbitrators”
Course Fee: =N= 350, 000 (Three Hundred and Fifty Thousand Naira only) per participant.