CHARTERED INSTITUTE OF CERTIFIED SECRETARIES AND REPORTERS OF NIGERIA
REQUIREMENTS FOR PRACTICE LICENSE
REQUIREMENTS FOR THE CICSRN PRACTICE LICENSE
Completed Application Form for Practice License
Detailed CV of the Applicant
Photocopy of the ACSR, MCSR or FCSR or Certificate of Membership
Evidence of working Experience (Pre or Post)
Proof of Payment of current year Annual Subscription
Proof of Payment of Practice License Fee (N12,000)
Letter of Recommendation from Applicant’s Employer/Fellow of CICSRN
Two passport photographs
Contact Us
Prince Samuel O. AOzomah, FCSR
(Registrar/Chief Executive) +2348034072979
Obong Louis Ekpah, FCSR
(Director Membership Services) +2348033311366
Mr. Francis O. Oshili, MCSR
(Head, Training/Education) +2348037849729
CHARTERED INSTITUTE OF CERTIFIED SECRETARIES AND REPORTERS OF NIGERIA
APPLICATION FORM FOR PRACTICE LICENCE
- DETAILS OF APPLICANT
- Title and Surname: ………………………………………………………………………………………………
(in block letters)
- Other Names: ………………………………………………………………………………………………………
- Former Names (if applicable) ………………………………………………………………………………
- Contact and Postal Address: ………………………………………………………………………………
……………………………………………………………………………………………………………………………
- GSM/Phone No: …………………………………………………………………………………………………
- Email Address: ……………………………………………………………………………………………………
- Date of Admission as a Member of the Institute: …………………………………………………
- Membership Number: …………………………………………………………………………………………
- Grade of Membership: ……………………………………………………………………………………….
- Membership of any other recognized Professional body to which you belong and date:
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
- Have you obtained a Practicing License from that body(s) named in 2 above?
If yes, attach a copy of Certificate(s)
- Names and addresses of Practicing Firms where approved training was obtained with dates:
- …………………………………………………………………………………………………………………………………
- …………………………………………………………………………………………………………………………………
- …………………………………………………………………………………………………………………………………
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- (a) Are you joining an existing practice? …………………………………………………………………………
If yes, give details: …………………………………………………………………………………………………
Name and address: …………………………………………………………………………………………………
(b) Are you commencing your own practice?
If yes, give name/s of other partner/s (if any)…………………………………………………………
…………………………………………………………………………………………………………………………………………
(b)Proposed address of the Practice ………………………………………………………………………………………….……………………………………………
………………………………………………………………………………………………….……………………………………
…………………………………………………………………………………………………………………………………………
- If in salaried employment, state
- Name and address of employer ……………………………………………………………………………………………..……………………………………
………………………………………………………………………………………………………….……………………….
…………………………………………………………………………………………………………………………………..
I hereby declare that all information supplied herein are true and correct to the best of my knowledge and belief. I undertake to conform to and abide by Rules and regulations issued, from time to time, by the Institute.
Applicant Signature & Date:
……………………………………………………………………………………………………………………………………………..
OFFICIAL USE
Application Fee Paid N
Public Practice Group recommendation: ………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………….
Name: ………………………………………………………………………………………………………………………………………
Signature: ………………………………………………………………………………………………………………………………..
Date: ………………………………………………………………………………………………………………………………………..
Date of Board Approval: ………………………………………………………………………………………………………….