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FORM OF APPLICATION FOR PROMOTION TO FELLOWSHIP
 
INSTITUTE OF CHARTERED SHIPBROKERS
85 Gracechurch Street, London EC3V 0AA, Telephone : +44(0)20 7623 1111, Fax: +44(0)20 7623 8118
Email: membership@ics.org.uk
This form must be sent to your local branch secretary. If you have no local branch, send the Form to the Head Office in London - please do not send any money with this form. 
Applications for promotion to Fellow will be paced before the Council that sits 5 times per year.
TO THE CONTROLLING COUNCIL
I have been a Member of the Institute of Chartered Shipbrokers since    and being aware of the qualifications called for under the Bye-Laws, I apply for promotion to Fellowship.
PERSONAL DETAILS
Title :
Surname :
Given Name :
Date Of Birth :  
Age [Optional] :
Nationality :
Home Address :
Address 1 [Optional] :
Address 2 [Optional] :
City :
Country :
Post Code :
Telephone No :
E-mail :
BUSINESS/EMPLOYER DETAILS
Company Name :
Address 1 :
Address 2 [Optional] :
City :
Country :
Post Code :
Telephone No :
Fax [Optional] :
E-mail :
Please direct all my communications to this address  
 
CAREER DETAILS
Give details of all employment since becoming a MICS with a brief job description including position held in each case.
Employer's Name
Designation
Date of Joining
Date of Leaving
Job Description
   
   
   
   
   

  
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