IFSM Membership Application Form Step 1 of 250%Personal DetailsTitle*Please select...MrMrsMsMissDrName* First Last PhotoAccepted file types: jpg, png.MembershipMembership type you wish to apply forIFSM MembershipAffiliateMembership Being Applied For*Please select...StudentTechnicianAssociateMemberAffliate you wish to apply forPlease select...Affiliate (1 to 50 employees)Affiliate (51+ employees)Student - Joining Fee Admin Fee: £ 0.00 Technician - Joining Fee Admin Fee: £ 45.00 Associate - Joining Fee Admin Fee: £ 45.00 Member - Joining Fee Admin Fee: £ 45.00 Affiliate (1 to 50 employees) Admin Fee: £ 0.00 Affiliate (51+ employees) Admin Fee: £ 0.00 Password Enter Password Confirm Password Contact detailsEmail* Business PhoneMobile Phone*Address Line 1*Address Line 2TownCityCountyPostcode*EmploymentBusiness Name*Job Title*Address Line 1*Address Line 2TownCityCountyPostcode*Company / Organisation detailsWebsite URL* Logo*QualificationsCV*Please describe and / or attach files which describe your relevant qualifications and experienceProfessional Qualifications*(Please include any registration / certification / third party accreditation)Professional Qualifications File Drop files here or Academic Qualifications*Academic Qualifications File Drop files here or Alternative professional experience for consideration*Alternative professional experience for consideration file Drop files here or Professional ReferencesReference 1Full Name*Contact Phone Number*Email* Professional capacity in which they are known to you*Reference 2Full NameContact Phone NumberEmail Professional capacity in which they are known to youPlease NoteWe aim to process your application within 4 weeks, but occasionally this time scale may be exceeded. If this occurs, please contact the register administrator at [email protected] for a progress report.Where did you hear about the IFSM?*DeclarationDisclosure of Membership On occasion we receive requests to check if individuals are active members of ours. Please tick this box if you consent to the IFSM disclosing this information.Use of data by other fire organisations Please tick this box if you consent to the IFSM sharing your details with other fire organisations.General Data Protection Regulation (GDPR)* I consent to my data being processed by the IFSM and its Groups, Branches or associated publications in accordance with the IFSM Privacy Policy.Insurance* I understand that Professional Indemnity / Public Liability insurance is NOT provided by the Institute and it is my own responsibility to arrange appropriate cover.Declaration* I confirm that by submitting this application to the Institute and by ticking this declaration box, the information I have provided within this application and its supporting documentation is true and correct at the time of submission and I agree to abide by the Rules and Regulations of Membership of the Institute.Data accuracy* I understand that it is my responsibility to ensure that my contact information, professional profile and related membership information is accurate and up to date.Joining Fee £ 0.00 Payment MethodCredit cardPayPalBank transferCard payment over the phoneCredit CardCard Details Cardholder Name PayPal CheckoutMasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Please use your SURNAME as the reference on your transfer Bank: HSBC Bank plc Account Name: The Institute of Fire Safety Managers Account Number: 02088436 Sort Code: 40 - 40 - 01 International Bank Account Number: GB40HBUK40400102088436 Branch Identification Code: HBUKGB4110WFor payments over the phone, please call us using the number on the Contact page.To submit this form, please accept our privacy statement* AcceptPrivacy statement
