Application Forms | The Institute Of Internal Auditors Tanzania

MEMBERSHIP APPLICATION FORM.pdf

ONLINE MEMBERSHIP APPLICATION FORM

Introduced by

PERSONAL DATA

Last Name

First Name

Middle Name

Title option *

Date of Birth

Year

Month

Day

ID type *

Home Address

Town City

Country *

Home Phone

Email Address

BUSINESS DATA

Company Name

Job Title

Business Address

Town/City

Country *

Business Phone

Fax

Number of Internal Auditors

EXPERIENCE

Number of years served as an Internal Auditor

Number of years in an Internal Audit Supervision Position

Number of Auditing Personnel under your supervision

EDUCATION

Highest Qualification obtained

Year Obtained

College/University Name

Are you Certified Internal Auditor *

Any other Professional Certification(s) you hold

Please tick Membership Classification applied for *

ATTACHMENT

Files

Files must be less than 25 MB.
Allowed file types: gif jpg jpeg png pdf doc docx odt pptx odp xlsx ods zip.

Add a new file

Files must be less than 25 MB.
Allowed file types: gif jpg jpeg png odf pdf doc docx ppt pptx.

FEES

Membership	Registration $TZS	Annual $TZS	Total $TZS
Membership Professional	Registration $TZS 20,000	Annual $TZS 300,000	Total $TZS 320,000
Membership Associate	Registration $TZS 20,000	Annual $TZS 300,000	Total $TZS 320,000

CHECKLIST FOR APPLICATION

1. Complete the Individual Membership Application form
2. Ensure the following documents are submitted together with your Application Form:
A. Registration Fee and Annual Subscription (Refer to the fee structure)
B. A photocopy of your Passport/National ID/Driving License/Identity Card
C. Certified Copies of relevant Master’s Degree/Degree/Advanced Diploma/Certificate
Documents must be certified as true copies either by a commission of Oaths, your head of Department [Head of company, if you are a Head of Department] or Head of Human Resource Department or Lawyer
D. One current Soft copy of your Passport size photo

APPLICANT’S DECLARATION & SIGNATURE

I declare that:
1. All information contained in this application is true & correct
2. If accepted. I agree to abide by IIA’s “Code of Ethics” and to support the “Standards for the professional
Practice of Internal Auditing”