Corporate – Application Form – African Association of Compliance Professionals in Financial Services (AACPFS)

Corporate Information

Corporate Name*

Abbreviation of Corporate Name

Type of Business*

Legal Nature*

Industry*

Date of Incorporation*

Corporate Logo*

Upload

Country of incorporation*

Organisation*

Private SectorPublic Sector

Username*

E-mail Address*

Password*

Confirm Password*

Contact Information

Headquarters Address*

Website URL

Company Telephone*

Company Email*

Representative

First Name*

Last Name*

Other Names

Birth Date*

Gender*

MaleFemale

Job Title*

Job Description*

Country of Residence*

Residential Address*

Mobile Phone Number*

Alternative Mobile Number

Email*

Alternative E-mail Address

Preferred method of contact*

EmailTelephone

Representative must meet at least 2 of the following criteria*

Acknowledgment and Consent

I authorize the Institute to list my name on the appropriate Register of Membership. I agree to be bound by the regulations of the Institute if my application is successful.

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Corporate – Application Form

Join a Pan-African Network of Institutions Committed to Advancing Compliance and Integrity