THE NIGERIAN INSTITUTE OF PROFESSIONAL SECRETARIES

(Association of Professional  Secretaries - Established under Act No.1 of 1990)
NATIONAL SECRETARIAT - 18A Modele Street off Tejuosho Road Surulere Lagos. P.O.Box 1184, Ikeja, Lagos
TRAINING AND DEVELOPMENT CENTRE: 94 Ikorodu Road, Fadeyi Bus Stop, Lagos
01-7212484, 01-8197299, 08045433061, 08033011365, 08058441143

To: The Director-General, NIPS, Lagos.

                  APPLICATION NUMBER:   .............................................

 

APPLICATION FORM FOR MEMBERSHIP

This Form should be completed and returned with certified copies of certificates, diplomas and other documents in support of qualifications claimed by the applicant to the Nierian Institute of Professional Secretaries

PLEASE PRINT ALL ENTRIES LEGIBLY

 

SECTION ONE

I agree that in the event of my admission to membership, I will be governed by the Rules of the Institute, whether contained in Articles of Association, By-Laws or otherwise, as they now exist or as may in future be altered; I will further the objectives of the Institute as far as I am able and will attend its meetings as often as I can, making special efforts for Annual General Conference, etc.

I, the undersigned certify that the statement made by me in this application are correct:

Mr/Mrs/Miss..................................................................................................................................

Date..............................Signature...................................Telephone No.........................................

02 Surname.......................................................................................................................................

03 Other Names...............................................................................................................................

04 Date of Birth........................Sex................. Marital Status...............................................

05 Age...................Nationality..........................State of Origin...............................................

06 Religious Affiliation........................................................

07 RESIDENTIAL ADDRESS:................................................................................................................

..........................................................................................................................................................................

.......................................................................................................................................................................


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08 Mailing Name...........................................................................................................................

09 Mailing ADDRESS ................................................................................................................ ...................................................................................................................................................... ..........................................................................

Post Code ............................... Email Address:........................................................

SECTION TWO

Current Employment

Job Title:....................................................................................................................................

Employer's Name:..............................................................................................................................

...............................................................................................................................................................................

.Nature of Employer

............................................................................................................

...............................................................................................................................................................................

Employer's Address:....................................................................................................................................

..........................................................................Telephone.................................................................

Previous Employment

Job Title:........................................................................................................................................

Employer's Name:..........................................................................................................................

Nature of Employer's Business:...................................................................................................

Employer's Adress:...................................................................................................................

..................................................................................................Telephone..................................

SECTION THREE

EDUCATION (Full details of qualification must be entered in the appropriate

section and relevant certificates must be submitted for inspection on demand)

UNIVERSITY OR POLYTECHNIC FULL/PART TIME DATE DEGREE OBTAINED




S.S.C.E/G.C.E.& Equivalent Main Subjects O or A Date







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PROFESSIONAL QUALIFICATION............................................................................................

MEMBERSHIP GRADE APPLYING FOR...................................................................................

SECTION FOUR

STATEMENT OF VERIFICATION

Verification can be by the signature below of a Fellow, Member or Associate members of the Institute, Supervisor or Senior Colleagues of the application who has first hand knowledge of the applicant's work.

This information supplied by the Applicant is verified by me where I have initiated the entries:

Company................................................................................................................................................................

Name (BLOCK LETTERS)....................................................................................................................................

SIGNATURE................................................................................DATE.................................................................

PAYMENT OF MEMBERSHIP FORM/BROCHURE AND REGISTRATION FEES

Application for Membership Form should be completed and returned to the Director-General ,enclosing

(1) Two (2) passport photographs certified by your signatory

(2) Photocopies of Educational Qualifications

(3) The original of the completed Membership Application Form

              AND

(a) FELLOWSHIP GRADE - No direct membership to Fellowship Grade.

(b) FULL MEMBERSHIP GRADE - N10,000.00 (To cover Form/Registration Fees)

(c) ASSOCIATE MEMBERSHIP - N8,000.00 (To cover Form/Registration Fees)


*Additional Information

Saturday, May 7, 2011 – Membership Qualifying Examinations – Covering Secretarial, Management and Communications (Exemption for HND/B.Sc holders in Secretarial Administration and Office Technology Management.

INDUCTION CEREMONY – Saturday, May 21, 2011

Venue: NIPS Training and Development Centre, 94 Ikorodu Road, 2nd Floor, Fadeyi Bus Stop, Lagos.

Induction Fee: N30,000.00



METHOD OF PAYMENTS TO THE INSTITUTE:

1. AT THE SECRETARIAT-

(a) by cash in person at the Secretariat

(b) by certified bank draft made payavble to NIP SECRETARIES and delivered by hand or post

(Courier Service) to the Director-General at the Secretariat, Lagos.

2. THROUGH THE BANK:

(a) Account Name - NIP SECRETARIES

(b) Skye Bank Plc, Isolo Branch, Lagos. Account No. 2371770004050

(c) United Bank for African Plc, Ojuelegba Road Branch, Lagos. Account No. 00890030002125

(d) First Bank of Nig Plc, Surulere Branch, Surulere, Lagos. A/C No. 2392030003438

(A copy of the Pay-in slip should be sent to the Direrctor-General and Official Receipt will be issued to you)

SECTION FIVE FOR OFFICIAL USE ONLY

Date Application Received Amount Enclosed Receipt No. Issued

Membership Committee Recommendation:

CHAIRMAN SECRETARY

DATE: DATE: