| INSTITUTE OF CHARTERED SHIPBROKERS |
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| Please forward completed form to: Institute of Chartered Shipbrokers. |
85 Gracechurch
Street, London EC3V 0AA, Telephone : +44(0)20 7623 1111, Fax: +44(0)20 7623
8118 Email:
examinations@ics.org.uk |
| I APPLY FOR EXEMPTION FROM THE
FOLLOWING SUBJECTS |
(please tick appropriate boxes) |
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On confirmation of any exemptions there will
be a fee payable of£50 per subject
exemption.
DO NOT SEND YOUR REMITTANCE WITH THIS FORM. |
| PERSONAL DETAILS |
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| BUSINESS/EMPLOYER DETAILS |
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| CAREER DETAILS |
| DETAILS OF PROFESSIONAL/EDUCATIONAL
QUALIFICATIONS OR WORK EXPERIENCE (In Respect Of Introduction To Shipping).
Please include copies of the appropriate certificates etc. |
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