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CIP COURSES AND NATIONAL EXAMINATION REGISTRATION FORM Winter 2012 CIP In class Program Montreal IDENTIFICATION COURSE REGISTRATION Family name : Given name : ADQ membership number : AMF Not applicable

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CIP courses and national refer to the Continuing Professional Development courses and national standards set for a specific profession or industry.

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Information such as course name, date completed, learning objectives, and provider accreditation must be reported on CIP courses and national.

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