Affiliate Scheme Application Form (group) - The Institution of Structural Engineers

Title:

Please enter your preferred title - e.g. Mr, Mrs, Miss, etc.

Forenames:

Surname:

Date of Birth:

Today

Gender:

Email (Personal):

Email confirmation:

Affiliate Level:

Standard
Enhanced
Premium

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Address line 1:

Address line 2:

Address line 3:

City/Town:

County/State:

Country:

Post / Zip Code:

.

Telephone:

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Nationality:

Job Title:

Name of your Company/Organisation:

Telephone (Work):

Website Address:

Work Email:

Work Address:

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Please enter the name of this organisation here:

To register under the Group Affiliate scheme, you need to be a member of a professional institution, trade association or non-commercial organisation that has registered with the scheme.

Please attach a scan (PDF or JPG) of your membership card or other document:

You need to provide evidence of current membership of that organisation. Please attach a scan (as a PDF or JPG file) of your membership card or other document that includes your full name, membership number or reference, and the period that your membership is valid.

Verification:

Affiliate Scheme - group registration

Author

Date published

Price

Fill out this simple form to submit a group application to the Affiliate Scheme.

Affiliate Scheme - group registration

Author

Date published

Price

Fill out this simple form to submit a group application to the Affiliate Scheme.

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