chartered institute of certified secretaries & reporters

CHARTERED INSTITUTE OF CERTIFIED
SECRETARIES & REPORTERS
NO. 6, LADIPO ADEYEMI STREET, ANTHONY VILLAGE
P M B 038 SHOMOLU-LAGOS STATE.
EXAMINATION ENTRY FORM
Entry Form No: _________________________
April
September
Tick as appropriate
Name (Surname First): ------------------------------------------------------------------------------------------------------------------------------Office Address: --------------------------------------------------------------------------------------------------------------------------------------Date of Birth: -------------------Age: ---------------Nationality: --------------------------- State of Origin -----------------------------------Telephone No. of Candidate: --------------------------------Email-Address: -------------------------------------------------------------------Membership Grade: -------------------------------------------Exam Centre Desired: -----------------------------------------------------------Tick which of the following Examination you are entering:
1. Confidential Secretaries/Official Reporters Qualifying Courses, (Intermediate Exam)
2. Administration and Management Courses, Professional Examination ( PE I & II Exam)
INTERMEDIATE EXAMINATION
1.
Data Processing and Application Programs
2.
Shorthand Speed Writing 120 – wpm
3.
Bi-Lingual Secretarial Practice
4.
Office Information Technology Management
5.
Financial Accounting
PROFESSIONAL EXAMINATION
PE I
1.
Information Communication Technology
2.
Organizational Behaviour and Methods
3.
Corporate Secretarial Practice
4.
Quantitative Techniques
5.
Entrepreneurship Development
PE II (FINAL)
1.
Parliamentary and Judicial Procedures
2.
Strategic Management
3.
Public Accounting
4.
Business Law and Government Relations
5.
Problems and Cases (Assignment and Project Based)
NB: Please tick appropriate box (es) on the examination subject required
Examination fees: Please see examination regulations for fees appropriate to your desired examination as follows
Examination fees for all subjects in each module or part are as follows: Intermediate N15, 000, Professional N16, 000
Amount enclosed N____________________(________________________________________________________)
DECLARATION
I ______________________________________________________________________________________________________
Hereby declare that the information given in this entry form are correct to the best of my knowledge and that I shall abide by the rules
and regulations governing the Institute’s training and examinations. I also indemnify the Institute against any false information I may
have given and hereby accept to be disqualified from writing the examination of the Institute or receipt of any result and certificate
thereof if I am found to have deceived the Institute.
Candidate’s signature ____________________________________________
Date__________________
Affix post
stamp
SPONSOR
The entry form and the passport photograph should be endorsed by the sponsor being either the employer, HOD of academic
institution or fully qualified and registered member of the Institute. It is dangerous to guarantee unknown person.
Name of sponsor (in full) __________________________________________________________________________________
Address_________________________________________________________________________________________________
Nature of occupation/profession__________________________________ Rank/Status_________________________________
Signature _____________________________________________Date ______________________________________
FOR OFFICIAL USE ONLY
1. Examination Entry Form approved by: __________________________________________________________________
2. Candidate Examination No: _____________________________________Centre_________________________________
PATICULARS OF AMOUNT RECEIVED
Amount: N__________________________ (in words)__________________________________________________________
Bank___________________________________________________________________________________________________
Total Amount Received: __________________________________________________________________________________
Mode of Remittance: _____________________________________________________________________________________
Attach deposit slip
Intermediate
Part I
Part II
Remark
Number of subject entered for
Number of referrals
Results
Received by __________________________________________ Passed to ______________________________________
Processed by __________________________________________Checked by____________________________________
Receipt acknowledged by ________________________________Date__________________________________________
Notice dispatched ________________________________________Date___________________________________________
Certificate issued/dispatched _______________________________________________________________
Crossed checked________________________________________________________________________
Filed by _______________________________________Date_________________________________
Member