Coporate Form

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Corporate registration form
CORPORATE APPLICATION FORM

Before Submission, a payment of 25,000 for the Corporate Application form should be made HERE

or via the TSA Account on REMITA platform. You are to log on to www.remita.net, and click on “pay federal government agency.” From the list of agencies, choose “Institute of Chartered Chemists of Nigeria”, indicate the amount, purpose of payment etc.

Corporate form should be returned with the following:

  1. A copy of the organization’s Certificate of Incorporation
  2. Profile of the organization
  3. One recent passport photographs of the CEO / Contact person
  4. A copy of appointment letter of each of the organization’s technical personnel who must be
    chemists
  5. A copy of evidence of payment (remita receipt)

All documents should be sent to: (icconapplicationformsubmission@gmail.com)

(Please note that, after the purchase of the Application Form, the Registration Fee is to
be paid after the application has been processed and approved, the approval of which
will be communicated to the organization concerned.)

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3. Names and Qualifications of Chemists working in the Organization 

Max. 300 words

6. Names and addresses of two Referees who should be ICCON members (At least one of
them must be a Fellow of the Institute). and they must be financially up to date with their dues.

Download this form and send to your referees to provide their required information, forms should be sent to: (icconapplicationformsubmission@gmail.com)

Download Here

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7. Payment Details
8. Details of Organization's chemists who serve as technical officers.

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Name
Name
First
Last

ii

Name
Name
First
Last

iii

Name
Name
First
Last
Declaration
I hereby declare that the above information provided is the best of my knwledge and correct.