CIPA Exam Registration Application Form

CIPA PROGRAM CANDIDATE REGISTERATION FORM

Fill this form to register for Certified Islamic Professional Accountant Fellowship Exam
Title
Full Name *

First Name Middle Name Last Name
Date of Birth *

Day Month Year
Date
Gender *

Male Female
Religion *
Nationality *
Ex: Bahraini / Pakistani / Indonesian/ Bangladeshi
National Identity Number *
Your Government issued National ID Card#
Passport Number
Place of Work *
Company name you work in
Profession *
Ex: Student, Scholar, Accountant. Banker etc
Father's Name *
Address for Communication *
Your Office or Home Address
City *
State
Country *
Postal Code
Email *
example@example.com
Phone Number *

County code Phone Number
DOCUMENTS REQUIRED:
We will now request you to upload the following documents:
1. A certified true copy of the certificates and transcripts/licenses
2. Recent passport size photograph
3. copy of your National Identity Card or Passport
Just follow the instruction below.
Qualifications - 1
Certificate / Degrees *
Name of Institution (School/College/University) *
Ex. Bahrain University
Country *
Faculty / Specialization *
Year *
Grade / Score / Total Marks *
Ex. 3.5 GPA
Qualifications - 2 (if any)
Certificate / Degrees
Name of Institution (School/College/University)
Country
Faculty / Specialization
Year
Grade / Score / Total Marks
Qualifications - 3 (if any)
Certificate / Degrees
Name of Institution (School/College/University)
Country
Faculty / Specialization
Year
Grade / Score / Total Marks
DOCUMENTS REQUIRED:
Upload Certified true copy of the certificates and transcripts / licenses *

PDF/DOC format or you can also upload zip files
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Recent passport size photograph *

JPG / GIF / PNG File format
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National Identity Card or Passport

JPG / GIF / PNG File format
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Other documents (optional)

Cancel of
Any Feedback / Question you want us to review
Declaration:
By submitting this CIPA Program Registration Form, I hereby declare the information provided herein is all true and accurate. I undertake I shall promptly provide AAOIFI with up-to-date and accurate information whenever there is any change therein. I have understood and agreed that AAOIFI may dismiss my participation in the CIPA Program without reimbursing any fees paid at any time if I have been registered to the Program and/or any of the Program Scheme on the basis of inaccurate, false, and/or falsified information. I agree that AAOIFI reserves the right to refuse Program registration to any candidates without any duty to disclose the reason(s) for the same.

I understand that the pre-requisite for CIPA Fellowship is to
1) pass all 4 module exams or get exemptions therefrom;
2) fulfill PER;
3) fulfill the program eligibility criteria, and
4) pay annual fellowship fees.
Signature *

Clear
DATE

Day Month Year
You cannot date change
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CIPA PROGRAM CANDIDATE REGISTERATION FORM

DOCUMENTS REQUIRED:

Qualifications - 1

Qualifications - 2 (if any)

Qualifications - 3 (if any)

DOCUMENTS REQUIRED: