I (we) hereby apply to become a member of the Association of Corporate Governance Professionals Nigeria and to be bound by the ACGPN Member's code of conduct during this period. I (we) confirm that the information contained in this form is true, accurate and complete to the best of my (our) knowledge and belief. I understand that any false or misleading statement in this form could lead to revoking our membership. Please send the company's registration certificate to membership@acgpnigeria.com.