NIGERIAN INSTITUTE OF CHARTERED ARBITRATORS
2024 E - REGISTRATION FORM
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FULL NAME(As you want it to appear on the certificate) *
First Name: *
Last Name: *
Email address: *
Middle Name:
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Address(House number, street and location): *
City(for above address): *
State for above address(NOT STATE OF ORIGIN): *
Country: *
DATE OF BIRTH(Day and Month): *
PROFFESSION/PRESENT POSITION OF APPOINTMENT: *
NAME OF FIRM/COMPANY *
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I hereby declare that the information provided on this form is correct. I hereby agree to abide by the rules and regulations of the governing council if my application is successful.
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