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CBAP Examfee Form October 2010
CBAP Examfee Form October 2010
1. Personal
Title/Salutation: Dr. Miss Mr. Mrs. Ms.
Given name:
Middle name:
Last name (surname):
Suffix: II III Esq. Jr. Sr.
2. Examination Registration
I am registering for the following exam:
Certification of Competency in Business Analysis™ (CCBA™) Exam
Certified Business Analysis Professional™ (CBAP®) Exam
Enter the location and date of the certification exam that you are interested in taking. The list of computer-based testing
(CBT) centers and the list of paper-based scheduled exams may be found on the IIBA® Web site.
No
Yes. Please complete the information below. You are also required to provide the written documentations from an
appropriate Health Care Professional to support the need for the accommodation. This documentation must include a
diagnosis of your health condition and a specific recommendation for the type of special accommodations you will
require. Failure to include supporting medical documentation will cause a delay in processing your application. IIBA®
does not pay any costs you may incur in obtaining this information.
Please identify the disability that significantly impairs your ability to arrive at, read or write the exam, or any
other related skills required to complete the examination:
Payment Information:
Signature: __________________________________
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