Membership Form

海運學會
INSTITUTE OF SEATRANSPORT
APPLICATION FORM FOR MEMBERSHIP

姓名 ___________________________ NAME (Mr / Mrs / Miss)________________________________________

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DATE & PLACE OF BIRTH______________________________________________________________________

NATIONALITY _____________________________PASSPORT/I.D. NO__________________________________

HOME ADDRESS______________________________________________________________________________

______________________________________________________MOBILE NO. ______________________

PRINCIPAL PROFESSION ______________________________PRESENT POST__________________________

PRESENT EMPLOYER & FULL ADDRESS________________________________________________________________________________

______________________________________________________________________________________________________________________

DEPT. ___________________________________OFFICE TEL NO. _______________FAX _______________ E-MAIL _______________________________

# ACADEMIC / PROFEESIONAL QUALIFICATION

* PREVIOUS EXPERIENCE IN SEATRANSPORT :

NAME OF COMPANY____________________________________ PERIOD _______________________POST __________________________

REFEREE : NAME _____________________________COMPANY ___________________________________TEL _______________________

CORRESPONDENCE ADDRESS OF APPLICANT ___________________________________________________________________________

_______________________________________________________________________________________________________________________

FOR OFFICIAL USE : DATE OF ACCEPTANCE____________________________________GRADE_______________________________

FEE ______________________MEMBERSHIP NO. _______________________MAILIST_____________________

DECLARATION

I, the undersigned, hereby apply for admission to membership of the Institute of Seatransport, and do agree, if admitted to comply with the Bye-laws and by any subsequent amendments and / or alterations there to which may be made, and by any Regulations made or to be made for carrying them into effect.

SIGNATURE________________________________________________DATE OF APPLICATION______________________________________

On completion of this form, it should be sent to "The Secretary, the Institute of Seatransport, G.P.O. Box 6081, Hong Kong together with a cheque of HK$400, payable to" The Institute of Seatransport“. This amount is for covering the entrance fee and first Annual Subscription only and is not refundable if withdrawn by the applicant.
# Please state name, number, date and place of issue of certificate/degree, or name and membership no. of other related Institute(s). Please enclose a photocopy of your qualification if possible.
* For applicant with only commercial background, please fill in sufficient experience to cover the minimum requirements as stipulated in Articles6.3. If insufficient information are given, the applicant will only be graded according to Article 6.4 as Associate Member.