Register Now – College of Insurance and Financial Management

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Full Names*
Prefix First Middle Last
Date of Birth*
Marital Status*
Nationality*
Country
Email Address*
Employer
Address for Correspondence
Permanent Address*
Street Address Address Line 2 State / Province / Region Country
Telephone Number*
Academic Qualifications*
Name Of Institution Dates Attended Certificate Obtained

*Please attach copied of credentials. (+) sign to add more rows
Details of Proposed Study*
Proposed Date Of Entry / Method Of Study*
- March 2020
- Sept 2020 ( Part-Time)
Professional and Other Qualifications*
Name of Awarding Institution Qualification Obtained Date

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Working Experience*
Past Employment Position Date

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Substantive Post*
Brief Description of Present Duties*
Other Information*
Declaration*
- I Certify that the information given in this application form is correct and complete . If i am admitted to the College , I undertake to observe the rules and regulations and to ensure payment of fees and other liabilities promptly.
Upload Your Credentials*
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Upload Passport Photograph*
Accepted file types: jpg, gif, png.

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