Application Form

The ILCS takes your privacy seriously and promise to keep your personal data private and secure. We are committed to use your data to manage your membership records and contact you about member benefits and services when the need arises. Kindly note that by submitting this form you confirm that you accept our terms and conditions.

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File Upload *

Affix/Upload Recent Passport size photograph

Gender *

Membership Grades/Routes *

Name *

First

Middle

Last

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Marital Status *

Date of Birth

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State of Origin

Local Government

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Email *

Phone *

Office Address

Address Line 1

City

State / Province / Region

Country

Home Address

Address Line 1

City

State / Province / Region

Country

Eligibility: Educational Qualifications with dates:

Institutions Attended

Qualifications Obtained

Date of Completion

Eligibility: Educational Qualifications with dates: (copy)

Institutions Attended

Qualifications Obtained

Date of Completion

Eligibility: Educational Qualifications with dates: (copy) (copy)

Institutions Attended

Qualifications Obtained

Date of Completion

Professional Qualifications with dates

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Institute

Grades of Membership

Date

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Institute

Grades of Membership

Date

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Institute

Grades of Membership

Date

Career History

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Employing Organisation

Position held

Date

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Employing Organisation

Position held

Date

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Employing Organisation

Position held

Date

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Current Job Title or Position *

Date of appointment in the current position

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Details of Current Employer *

Director: *

Junior Category *

Nature of Business/Industry

Management *

Highlight key roles on the current job as related to leadership, coaching and strategy *

List Leadership Attainment in the course of your career *

List details of publications or lectures delivered or major problems you have solved relating to Leadership, Coaching and strategy (if any)

Details of Immediate Supervisors/HR Director

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Name *

Position *

Phone *

Organization *

Email *

Date

Data Protection: The ILCS takes your privacy seriously and promise to keep your personal data private and secure. We are committed to use your data to manage your membership records and contact you about member benefits and services when the need arises. Kindly note that by submitting this form you confirm that you accept our terms and conditions.