Forensics training master class student registration form 2016-17
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The document appears to be a registration form for a forensics training masterclass hosted by the International Institute of Certified Forensic Investigation Professionals Inc. (IICFIP). The form requests personal details from applicants, including name, date of birth, nationality, contact information. It also requests information about an applicant's professional qualifications, academic qualifications, and consent for their contact details to be published on the IICFIP website. By signing the form, applicants agree to abide by the rules and codes of the Institute.
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Forensics training master class student registration form 2016-17
- 1. INTERNATIONAL INSTITUTE OF CERTIFIED FORENSIC INVESTIGATION PROFESSIONALS INC (IICFIP) INCORPORATED IN DELAWARE USA AND LEGALLY AUTHORIZED TO OPERATE IN KENYA Web: www.iicfip.org E-mail: info@iicfip.org Tel.: +254 20 2212702, +254 20 2357339 Mobile: +254 751 659031, +254 723 810204 Physical and Postal Address: Information Hse, 4th floor, Room No. 406, Mfanfano St/Hakati Rd., Near Afya Centre, directly opposite Ukwala Supermarket. P. O. Box 10295-00200, Nairobi, Kenya. FORENSICS TRAINING MASTERCLASS STUDENT REGISTRATION FORM CFIP A MARK OF EXECELLENCE IN FORENSIC INVESTIGATION SKILLS SECTION A PERSONAL DETAILS (i) Full Names (Ph.D, Dr. Mr., Mrs., Miss, or MS.) ………………………………………………………………………..................... (ii) Date of Birth………………………………………………………………................................................................................... (Day) (Month) (Year) (iii) Nationality…………………………………………………………………… (iv) Passport/ID No……………………………………………………………. (v) Contact address………………………………………………………….. P. O. Box ……………………………………………......................... Town …………………………………………………. Tel (office)………………… ……………………… (Residence)……………………………………………………… Mobile ………………………………………………… E-mail ……………………………………………………………………….. Global Leaders in forensic investigation skills training Place passport size Photograph Here
- 2. INTERNATIONAL INSTITUTE OF CERTIFIED FORENSIC INVESTIGATION PROFESSIONALS INC (IICFIP) INCORPORATED IN DELAWARE USA AND LEGALLY AUTHORIZED TO OPERATE IN KENYA (vii) Alternative Contact Address ………………………………………………………………………………………… (viii) Name and address of the employer/sponsor (if any) ……………………………………………………………………………………………………………………………………… E-mail address………………………………………………………………………………………Please provide Gmail address. Tel ……………………………………………………………………………………………………………………………….. SECTION B Country of Residence at the time of application must be mandatory………………………………… SECTION C PROFESSIONAL QUALIFICATIONS Please list all qualifications & certifications: 1. ………………………………………………………………………….... 2. …………………………………………………………………………… 3. …………………………………………………………………………… 4. …………………………………………………………………………… 5. …………………………………………………………………………… 6. …………………………………………………………………………… 7. …………………………………………………………………………… 8. …………………………………………………………………………… 9. …………………………………………………………………………… 10. …………………………………………………………………………… (Please attach photocopies of certificates) SECTION D ACADEMIC QUALIFICATIONS Please list all your degrees and certificates: 1. ………………………………………………………………………….... 2. …………………………………………………………………………… 3. …………………………………………………………………………… 4. …………………………………………………………………………… 5. …………………………………………………………………………… 6. …………………………………………………………………………… Global Leaders in forensic investigation skills training
- 3. INTERNATIONAL INSTITUTE OF CERTIFIED FORENSIC INVESTIGATION PROFESSIONALS INC (IICFIP) INCORPORATED IN DELAWARE USA AND LEGALLY AUTHORIZED TO OPERATE IN KENYA 7. …………………………………………………………………………… 8. …………………………………………………………………………… 9. …………………………………………………………………………… 10. …………………………………………………………………………… (Please attach photocopies of certificates) SECTION E Categories of Membership (Please tick one category): Registration/Subscription fee: Period: Student Membership □ Free/Sponsored Automatic upon registration as a Forensics Training Master Class below. Masterclass Student □ Free/Sponsored Free training on Forensic Investigation Skills. SECTION F Consent to publish your contact details on IICFIP website members’ Directory/Magazine Title: Mr/Dr/Prof/Mrs/Rev/______________________________________________________________________ Name: ___________________________________________________________________________________________ Designations: like CPA, CFIP, PH.D…………………………………………………………………………………………………………………… Job title for example, Director, Consultant…………………………………………………………………………………………………………… Organization or company if different from employer_______________________________________________ Address if different from above_____________________________________________________________________ E-mail address: ________________________________________________________________________________ Website: _______________________________________________________________________________________ Global Leaders in forensic investigation skills training
- 4. INTERNATIONAL INSTITUTE OF CERTIFIED FORENSIC INVESTIGATION PROFESSIONALS INC (IICFIP) INCORPORATED IN DELAWARE USA AND LEGALLY AUTHORIZED TO OPERATE IN KENYA I consent to the publication of my contact details by the IICFIP. Signature____________________________________ SECTION G How did you hear or know about the Institute? A. Internet B. LinkedIn/Twitter/Face book C. Direct e-mail to you D. Referral by a professional colleague Name of the Member who introduced you:___Tarisai Dhlamini_____ _____ Reg. No.__TARACM 460______ SECTION H Agreement with the IICFIP By signing this form, I agree to follow and abide by all rules, standards and codes of professional conduct of the Institute at all times. I understand that any breach could entail appropriate measures being taken, which may include expulsion from the Institute. Member’s signature ……………………………………………………………….. Date………………………….…………………………………………………… NB. You must attach all you professional and academic certificates if there are any. Global Leaders in forensic investigation skills training