North Rift Branch Nomination Form For Executive Committee Members 2019 - 2020 A. Nomination

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NORTH RIFT BRANCH

NOMINATION FORM FOR EXECUTIVE COMMITTEE MEMBERS 2019 - 2020

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 vie for the position of
_______________________________________________of the North Rift 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.

A. 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 North Rift
Branch of ICPAK.

_______________ __________________
Signature Date

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