INSTITUTEOFCHARTEREDACCOUNTANTSOFBELIZE
STUDENTMEMBERSHIPREGISTRATIONFORM
Name
DateofBirth
CurrentAddress_____
PlaceofEmployment
AddressofEmployer
Telephone:HomeWork
EMailAddress
Alternateemailaddress______________________
SignatureDate
ACCAStudentID_______________DateRegisteredwithACCA_______________________
Anapplicationfeeof$25.00shouldbeaccompaniedwithyourcompletedregistrationform.
Membershipfeeis$50.00.Allfeesaredueandpayableonthe1
st
ofJanuaryofeachyearand
shouldbemailedto:
InstituteofCharteredAccountantsofBelize
Attention:Ms.A.LindaMunoz‐Administrator
SecretariatAddress
101BFreetownRoad,
P.O.Box1223,BelizeCity,Belize
Ph:2232455;Fax2235424
Web:www.icab.bzEmail:secretariat@icab.bz
#10 Taiwan Street
click to sign
signature
click to edit