Affiliate Scheme Application Form - The Institution of Structural Engineers

Title:

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

Forenames:

Surname:

Date of birth:

Gender:

.

Email (Personal):

Email confirmation:

.

Affiliate Level:

Standard
Enhanced
Premium

.

Address line 1:

Address line 2:

Address line 3:

City/Town:

County/State:

Country:

[Error loading the FormControl 'dropdownlist']
[DataConnection.HandleError]: Query: select lookup_code, lookup_full_desc from IStructE_repl_live.dbo.lookup where LOOKUP_TYPE_REF=6 and valid_to is null order by case when lookup_full_desc='UK - England' then 'AAA' when lookup_full_desc='UK - Northern Ireland' then 'AAAA' when lookup_full_desc='UK - Scotland' then 'AAAAA' when lookup_full_desc='UK - Wales' then 'AAAAAA' else LOOKUP_FULL_DESC end Caused exception: Invalid object name 'IStructE_repl_live.dbo.lookup'.

Post / Zip Code:

Telephone:

Nationality:

Job Title:

Name of your Company/Organisation:

Telephone (Work):

Website Address:

Work Email:

Work Address:

This form of undertaking is to be completed by any candidate for admission or transfer to any class of membership of the Institution other than
Honorary Fellow in accordance with the provisions of bye-law 1.13.1. I have read the Charter, the Bye-laws and the Code of Conduct. Whilst I am a member I undertake to be governed by the laws of the Institution for the time
being in force, and to accept as final and binding decisions of the Board and the Institution on all matters in which they have jurisdiction. I also undertake to promote the
objects of the Institution; to attend Institution meetings as often as I conveniently can, and to endeavour to present to the Institution an original communication relating to structural engineering. I further undertake that, upon
the cessation of my membership, I will cease to describe myself in any way as a member of the Institution of Structural Engineers. I have no criminal conviction unspent within the relevant jurisdiction. I am not subject to a bankruptcy
order, restriction or undertaking. I have not been subject to any adverse finding by another organisation. There is no further matter that may affect consideration of my application. All data provided in this form
will be processed in accordance with the Institution of Structural Engineers' Privacy Policy, which can be found at www.istructe.org/privacy-policy. I have read, understand, and
accept the candidates declaration and undertaking:

Verification:

Affiliate Scheme registration

Author

Date published

Price

Fill out this simple form and join the Affiliate Scheme.