Application For Membership
Print out this form and mail it along with all additional requirements to ASBC Secretary, PO Box 320, Box Hill 3128
Family Name
:
Given Names
:
Home Address
:
Home Phone
:
Business Phone
:
Fax
:
Preferred method of contact
:
Home
Work
Day / Month / Year
Date Of Birth
:
For our records only - strictly confidential
My main area of Consultancy is
:
Years spent in the industry
:
Qualifications
Educational
:
Professional
:
Trade
:
Membership of other organisations (related to the Building industry)
:
Experience as a Building Consultant
:
I hereby apply for membership of the Australian Society of Building Consultants and agree to be bound by the Statement, Rules and By-Laws of the Society.
Signed: ....................................................................
Dated: ...............................
Proposer - Name: .....................................................
Dated: ...............................
(
NOTE
- Proposer and Seconder MUST be Members of the Society).
DETAILS TO BE PROVIDED
- all documents provided will remain strictly
CONFIDENTIAL
A full and detailed Curriculum Vitae.
Character References from two (2) referees who may be contacted by the Membership Sub-committee.
A sample of a recent report
A NON-REFUNDABLE fee of $50.
Office Use
Day / Month / Year
Date Received
:
Entrance Fee Received
:
Yes
No
Presented to Committee
:
Yes
No
Letter of confirmation/rejection sent
:
Yes
No
Request for further information
:
Yes
No