2023年内部監査人協会（IIA）国際大会（ハイブリッド開催）
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。
OK
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1.
Registration Type（登録者属性）
（必須）
Member
Non-member
Speaker
Staff
Exhibitor
Sponsor
Local Affiliate
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2.
Registration Category（申込対象）
（必須）
IN-PERSON
LIVESTREAM
3.
Customer/Member ID（グローバルアカウント番号：ご不明な場合はiiaic@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）
（必須）
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7.
Company（所属企業・団体名）
（必須）
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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）
（必須）
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11.
State/Province（都道県名）
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12.
Country（国名）
（必須）
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13.
Postal Code（郵便番号）
（必須）
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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）
（必須）
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15.
email
（必須）
16.
CC email
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17.
Billing person name（請求先担当者名）
（必須）
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18.
Invoice destination email（請求書送付先メールアドレス）
（必須）
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)? ）
（必須）
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?
（必須）
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）
（必須）
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）
（必須）
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）
（必須）
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
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）
（必須）
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）
（必須）
Yes
No
28.
Other
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