FELLOW CONVERSION COURSE FORM FELLOW CONVERSION COURSE FORM Name of Participant * Title Browse Organization Title Browse Contact Address * Title Browse Email * Title Browse Phone * Title Browse Qualifications Title Browse Enter your institution and Year of graduation in this format e.g. 1. University of Lagos (BSC 1994) 2. University of Calabar (MSC 1996). etc Membership of other professional bodies: Title Browse Fill in details of all professional bodies you are a member of above Professional Experience in Arbitration: Title Browse Give Details of your Professional Experience in Arbitration: Membership Status * Title Browse Payment Mode: * Title Browse Please send cheque or proof of payment to: [email protected] Or Institute of Construction Industry Arbitrators, No. 5, Simpson Street, (SHOBO HOUSE) 1st Floor, near High Court of Lagos State, Igbosere Road, Lagos Island, Lagos. Bank Details – • Account Name: Society of Construction Industry Arbitrators • Account No:1007391531 • Bank: UBA Cheques should be issued in favour of “Society of Construction Industry Arbitrators” Course Fee: =N= 350, 000 (Three Hundred and Fifty Thousand Naira only) per participant. Submit
