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ASSOCIATION OF GOVERNMENT INTERNAL AUDITORS

REGISTRATION FORM
ASSOCIATION
OF GOVERNMENT
INTERNAL AUDITORS

Note : Please Print Legibly (for the issuance of CERTIFICATE)


LAST NAME FIRST NAME NICKNAME M. I.

E-MAIL ADDRESS: CELL PHONE NO.


POSITION DEPARTMENT / UNIT TELEPHONE/ FAX NO.

NAME OF AGENCY / ADDRESS HEAD OF AGENCY / POSITION

Are you already an AGIA member? [ ] YES [ ] NO With Membership Card [ ] YES [ ] NO

Signature

SURVEY QUESTIONNAIRE

NAME :
AGENCY / OFFICE :
POSITION :

1. Do you have an existing internal audit unit / division / service? Yes [ ] No [ ]


If yes, when was it organized?
No. of Personnel complement
/ / Audit function
/ / Management function
/ / Others: Pls. specify

2. Do you have an existing management division / unit? Yes [ ] No [ ]


/ / Audit function
/ / Management function
/ / Others: Pls. specify

Thank you!

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