APPLICATION FOR MEMBERSHIP, GRADE AND AWARD (Individual or Institutional)

Membership Grade/Award of:*Distinguished Fellow (£250).Senior Research Fellow - Post Doctoral Award (Level 9) (£250).Principal Doctorate Fellow (Level 8) £2000Senior Fellow (Level 7) £500. (Masters/Professional Certificate).Fellow (Level 6) £300.Associate Fellow (Levels 3-5) £75.Associate (TVET) £10 (For a Minimum of 10 pax).Institutional Member (5 years) £250. Accredited Institutional Member (AIM) £300.

Name of Institution:*

Name of Nominee for Principal Fellow membership:*

Your Name as you want it to appear on the Certificate:*

Date of Birth:*

Nationality:*

Passport/ID Number*

Tel. No. Work/Home:*

Mobile:*

Email*

Contact Number

Office* Number

Mobile* Number

Email Address*

Professional and Academic Qualifications or Awards (with approximate dates) Or a detailed CV.
Please Attach copies. Also, state your ‘Area of Specialization’(For Doctorate or Master’s only)

Supporting Documents

Current Position:*

Date Appointed: *

Employer Name:*

Correspondence Address: *

Note: You may pay the fee in full or for a Doctorate, in full or by instalments over 3 or 6 months. Please attach with this application, proof of payment (E.g., Bank transfer slip). (Individual Fellow awards qualify for Life membership).