Student Membership Registration Form – African Association of Compliance Professionals in Financial Services (AACPFS)

Personal Information

Username*

First Name*

Last Name*

Other Names

Password*

Confirm Password*

E-mail Address (Gmail or Yahoo mail)*

Birth Date*

Gender*

MaleFemale

Country of Residence*

Have you ever been convicted of a criminal offence or been subject to disciplinary action by an educational, professional, regulatory, or statutory body?

YesNo

Recent Passport Photograph*

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Contact Information

Mobile Phone Number*

Alternative Mobile Number

Residential Address*

Alternative E-mail Address

Preferred method of contact

EmailTelephone

Academic Information

Name of Institution*

Institutional E-mail Address

Country of Institution*

Faculty/School*

Department/Programme*

Course/Programme of Study*

Qualification Being Pursued*

Current Level/Year of Study*

Expected Graduation Year*

Student/Matriculation Number*

Proof of Student Status*

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Acknowledgment and Consent

Membership Declaration*

I confirm that I am currently enrolled in a recognised tertiary institution and that the information provided in this application, including information regarding my student status, is true and complete. If my application is successful, I authorise the African Association of Compliance Professionals in Financial Services (AACPFS) to enter my name in the appropriate Register of Members, and I agree to be bound by the Constitution, regulations, policies and applicable rules of the Association.

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