| INSTITUTE OF CHARTERED SHIPBROKERS |
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| 85 Gracechurch Street, London
EC3V0AA; Tel: (020) 7623 1111; Fax: (020) 7623 8118;Email:membership@ics.org.uk |
| The filled in form must be sent
to either your local branch or Head Office in London.
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| I wish to apply for election as a Member of
the Institute of Chartered Shipbrokers having submitted an approved
dissertation. I undertake to observe the Byelaws of the Institute in force from
time to time. |
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PERSONAL DETAILS |
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| BUSINESS/EMPLOYER DETAILS |
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