Nomination Form for Executive Committee Members 2017 - 2018

MT KENYA BRANCH

NOMINATION FORM FOR EXECUTIVE COMMITTEE MEMBERS 2017 - 2018

A.  NOMINATION

We, being registered members of the Institute of Certified Public Accountants of Kenya in good standing, hereby nominate CPA______being a registered member of the Institute of Certified Public Accountants of Kenya in good standing, Registration No ______to stand for election for the position of ______of the Mt Kenya Branch of ICPAK.

FULL NAMES / REGISTRATION NO: / SIGNATURE
PROPOSED BY: - (one member)
SECONDED BY: (one member)

N/B: The proposer and seconder must be members in good standing i.e. fully paid-up, with at least 120 CPD hours in the last three years and with no disciplinary case.

B.  ACCEPTANCE BY THE NOMINEE

I CPA______being a registered member of the Institute of Certified Public Accountants of Kenya in good standing, Registration No ______hereby accept to be nominated to stand for election for the position of ______of Mt Kenya Branch of ICPAK.

______

Signature Date