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
Place passport
size
CFIP A MARK OF EXECELLENCE IN FORENSIC INVESTIGATION SKILLS
Photograph
Here
SECTION A
PERSONAL DETAILS
(i)
Full Names (Ph.D, Dr. Mr., Mrs., Miss, or MS.)
.....................
(ii)
Date of
Birth..............................................................
.....................
(Day)

(Month)

(iii)

Nationality

(iv)

Passport/ID No.

(v)

Contact address..
P. O. Box .........................
Town .

Global Leaders in forensic investigation skills training

(Year)

INTERNATIONAL INSTITUTE OF CERTIFIED FORENSIC INVESTIGATION PROFESSIONALS INC

(IICFIP)
INCORPORATED IN DELAWARE USA AND LEGALLY AUTHORIZED TO OPERATE IN KENYA
Tel (office) (Residence)

Mobile
E-mail ..
(vii)

Alternative Contact Address

(viii) Name and address of the employer/sponsor (if any)

E-mail addressPlease
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.

Global Leaders in forensic investigation skills training

INTERNATIONAL INSTITUTE OF CERTIFIED FORENSIC INVESTIGATION PROFESSIONALS INC

(IICFIP)
INCORPORATED IN DELAWARE USA AND LEGALLY AUTHORIZED TO OPERATE IN KENYA
9. 10.

(Please attach photocopies of certificates)

SECTION D
ACADEMIC QUALIFICATIONS
Please list all your degrees and certificates:
1. .... 2.

3. 4.

5. 6.

7. 8.

9. 10.

(Please attach photocopies of certificates)

SECTION E

Categories of Membership
(Please tick one category):
Period:

Student Membership
upon registration as a Forensics

Registration/Subscription fee:

Free/Sponsored

Global Leaders in forensic investigation skills training

Automatic

INTERNATIONAL INSTITUTE OF CERTIFIED FORENSIC INVESTIGATION PROFESSIONALS INC

(IICFIP)
INCORPORATED IN DELAWARE USA AND LEGALLY AUTHORIZED TO OPERATE IN KENYA

Training Master Class below.

Masterclass Student
on Forensic Investigation Skills.

Free/Sponsored

Free training

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: _______________________________________________________________________________________
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
Global Leaders in forensic investigation skills training

INTERNATIONAL INSTITUTE OF CERTIFIED FORENSIC INVESTIGATION PROFESSIONALS INC

(IICFIP)
INCORPORATED IN DELAWARE USA AND LEGALLY AUTHORIZED TO OPERATE IN KENYA

B. LinkedIn/Twitter/Face

book

C. Direct e-mail to you

D. Referral by a professional colleague

Name of the Member who introduced you________________________ ______ _____

________________

Reg. No.__

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.

Members signature .. Date.

NB.

You must attach all syou professional and academic certificates if there are any.

Global Leaders in forensic investigation skills training