2021年内部監査人協会（IIA）国際大会（オンライン開催）

団体割引申込

以下がお申込みをする際に必要な記入項目になります。全て英数字で入力くださいますようお願いします。

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* 1. Registration Type（登録者属性）

Member

Non-member

Speaker

Staff

Exhibitor

Sponsor

Local Affiliate

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* 2. Registration Category（申込対象）

Conference All Access

Conference Rebroadcast

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* 3. Customer/Member ID（グローバルアカウント番号：ご不明な場合はiiaic2021@iiajapan.comまでお問い合わせください）

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* 4. First Name（名）

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* 5. Last Name（姓）

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* 6. Job Title（役職名）

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* 7. Company（所属企業・団体名）

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* 8. Address Line 1（住所1）

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* 9. Address Line 2（住所2）

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* 10. City（市町村名）

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* 11. State/Province（都道県名）

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* 12. Country（国名）

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* 13. Postal Code（郵便番号）

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* 14. Work Phone（会社電話番号国番号81+市外局番の最初の０以下を記入）

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* 15. email

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* 16. CC email

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* 17. Billing person name（請求先担当者名）

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* 18. Invoice destination email（請求書送付先メールアドレス）

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* 19. Please let us know what IIA certifications you have.（保有資格）

CFSA

CGAP

CIA

CPEA

CPSA

CRMA

CCSA

QIAL

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* 20. Industry（What is the primary industry classification(s) of the organization for which you work (or your primary client if you are a service provider)? ）

Accommodation and Food Services

Administrative and Support and Waste Management and Remediation Services

Agriculture, Forestry, Fishing and Hunting

Arts, Entertainment, and Recreation

Construction

Educational Services

Financial Services and Insurance

Health Care and Social Assistance

Information

Management of Companies and Enterprises

Manufacturing

Mining, Quarrying, and Oil and Gas Extraction

Other Services (except Public Administration)

Professional, Scientific, and Technical Services

Public Administration

Real Estate and Rental and Leasing

Retail Trade

Transportation and Warehousing

Utilities

Wholesale Trade

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* 21. What kind of organization to you currently work for?

Pubicly traded organization

Privately held organization

Public sector (including federal/national, state/provincial, local/city, government-sponsored enterprises, international or multinational organizations)

Nonprofit organization (generating revenues largely through charitable donations)

Not-for-profit organization (generating revenues largely through organizational membership and operations)

Service Provider/ Consultant

Not sure / Not applicable

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* 22. In What Region Is Your Organization Headquartered?（所属企業本社所在地域）

Africa

Asia

Europe

Latin America (includes Cental Amrica, south amrica and the Caribbean)

North America

Oceania (includes Australia, New Zealand, Micronesia, Melanesia and Polynesia)

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* 23. What is the size of your internal audit function?（監査部門スタッフ数）

One

Two - Five

Six to Ten

Eleven to Fifteen

Sixteen to Twenty-five

Twenty-six to Fifty

Fifty-one to One Hundred

More than One Hundred

Other

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* 24. Closest title match（Please select the closest match to your current title from the list）

Audit staff, audit senior (non-management)

Audit manager or supervisor

Audit director

Chief audit executive

IT audit staff, IT audit senior (non-management)

IT audit manager

IT audit director

Accounting professional (staff or management)

Financial analyst

Compliance auditor, officer, manager, or director

Controller, corporate controller (staff or management)

Risk management

IT professional

Information security professional

External public accountant

Educator

Management consultant

Corporate management

Audit services contractor

Audit committee member

Retired

Unemployed

Student

Other

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* 25. Please tell us your chapter affiliation.

IIA-Japan

Other

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* 26. By Completing This Registration, I Understand That I May Receive Updates From The IIA Regarding The Event. You May Opt Out Of Additional Communications From The IIA Anytime By Going To My Profile And Updating My Contact Preferences Via The IIA Home Page.（申込に関連する連絡受信の許諾）

Yes

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* 27. The IIA Would Like To Share Your Registration Information With Our Exhibitors, Sponsors, And Advertisers Of The Event. Your Information Will Help To Develop Statistics Predicting Trends And Needs In The Profession And Allow Them To Prepare For The Event Based On The Audience In Attendance. The Data Shared May Include Your Name, Company, Email, Job Title, City, State/Province And Country.（申込情報に関する関係者との情報共有の許諾）

Yes

2021年内部監査人協会（IIA）国際大会（オンライン開催）

団体割引申込

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* 1. Registration Type（登録者属性）

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* 2. Registration Category（申込対象）

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* 3. Customer/Member ID（グローバルアカウント番号：ご不明な場合はiiaic2021@iiajapan.comまでお問い合わせください）

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* 4. First Name（名）

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* 5. Last Name（姓）

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* 6. Job Title（役職名）

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* 7. Company（所属企業・団体名）

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* 8. Address Line 1（住所1）

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* 9. Address Line 2（住所2）

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* 10. City（市町村名）

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* 11. State/Province（都道県名）

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* 12. Country（国名）

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* 13. Postal Code（郵便番号）

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* 14. Work Phone（会社電話番号国番号81+市外局番の最初の０以下を記入）

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* 15. email

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* 16. CC email

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* 17. Billing person name（請求先担当者名）

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* 18. Invoice destination email（請求書送付先メールアドレス）

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* 19. Please let us know what IIA certifications you have.（保有資格）

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* 20. Industry（What is the primary industry classification(s) of the organization for which you work (or your primary client if you are a service provider)? ）

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* 21. What kind of organization to you currently work for?

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* 22. In What Region Is Your Organization Headquartered?（所属企業本社所在地域）

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* 23. What is the size of your internal audit function?（監査部門スタッフ数）

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* 24. Closest title match（Please select the closest match to your current title from the list）

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* 25. Please tell us your chapter affiliation.

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* 28. Other