Membership Registration

Chartered · Technician · RPA · Firm

Apply for professional membership with the Liberia Institute of Certified Public Accountants. Complete the application form below and our membership desk will review your submission.

Individual Membership Application

Please provide all information required on this form in block letters.

Membership Type

Chartered

Technician

RPA

Name of Firm

1. Name

2. Membership #

3. Date of Birth

4. Nationality

5. Country of Residence

5a. Years of Residence

6. Place of Work

7. Gender

Female

Male

8. Physical Address (Home)

9. Contact Information (Home/Personal)

10. Nature of Business

11. Position

12. Physical Address (Work)

13. Contact Information (Work)

14. Previous LICPA Membership

Yes

15. Highest Education Level

Doctorate

Masters

Bachelors

Associate

High School

16. Professional Qualification(s)

17. Certification

I certify that the information provided in this form is true and accurate to the best of my knowledge and ability. I realize that any misrepresentation observed could lead to forfeiture of my membership to the LICPA and a possible fine or legal action.

18. All Membership Fees

An application fee of $75.00 USD (approx. LD$15,000.00) is required with this application. This fee must be paid whether your application is approved or rejected.

Payment Method

Bank Slip (upload receipt)

Mobile Money (MOMO payment ID)

Currency

USD ($)

LRD (LD$)

Amount Paid

Upload Bank Deposit Slip / Receipt JPG, PNG, PDF, GIF, WebP — Max 5MB

MOMO Payment ID / Transaction Code Enter the transaction code from your mobile money provider

19. Security Check