Application Form

How To Apply For Membership

ONLINE Fill in and submit the online membership form.

HARD COPY Print off a hard copy of the application form (at the bottom of the page), fill it out, then send the completed version to us by post or email.

Online Membership Application Form

Membership Application(Required)

NEW

UPGRADE

First Name(Required)

Last Name(Required)

Date of Birth(Required)

Nationality(Required)

Address(Required)

Street Address City Region Postal Code

Use this address for correspondence and invoicing?(Required)

Yes

Phone(Required)

Email(Required)

If you do not have a personal email address please type NO EMAIL ADDRESS.

PRESENT EMPLOYMENT

Employer(Required)

Address(Required)

Street Address City Region Postal Code

Business Postal Address (for correspondence)(Required)

Street Address City Region Postal Code

Use this address for correspondence and invoicing?(Required)

Yes

Daytime Phone(Required)

Mobile Phone(Required)

Work Email(Required)

Job Title(Required)

If you do not have a work email address please type NO EMAIL ADDRESS.

Date Appointed(Required)

Please state your duties & responsibilities(Required)

EDUCATION (PAST & PRESENT)

Copies of certificates are necessary to support an application to enter a corporate grade

Max. file size: 80 MB.

File #2 (if needed)

Max. file size: 80 MB.

File #3 (if needed)

Max. file size: 80 MB.

EXPERIENCE IN THE INDUSTRY

Current Role(Required)

Time Employed(Required)

Previous Roles

Years Worked (From > To) || Job Title || Name of Employer

Period in Months

Years Worked (From > To) || Job Title || Name of Employer

Period in Months

Years Worked (From > To) || Job Title || Name of Employer

Period in Months

APPLICANT'S DECLARATION

I hereby apply for election/transfer to:(Required)

The foregoing represents a full and accurate statement of my education and experience(Required)

Date(Required)
DD slash MM slash YYYY

Nominated by

Proposers and seconders should be in the appropriate grade of membership shown below.

For FELLOW - two Fellows

For MEMBER / TECHNICAL MEMBER - two Fellows or two Members or a combination thereof

For STUDENT - two corporate members; not Associate members

For ASSOCIATE - two corporate members; not Associate members

From personal knowledge of the applicant, and in consideration of the qualifications stated herein, we recommend the same as being in every respect a fit and proper person to be elected.

Proposer(Required)

Membership Category(Required)

Phone/Mobile(Required)

I have made contact with the named Proposer.(Required)
Yes

Seconder(Required)

Membership Category(Required)

Phone/Mobile(Required)

I have made contact with the named Seconder.(Required)
Yes

The proposer and seconder may be contacted for verification of your nomination.

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