<p> Application for election or transfer to class of Fellow Member / Corporate Member / Company Member / Affiliated Member / Associate Member of the HONG KONG INSTITUTE OF STEEL CONSTRUCTION c/o TU743, Department of Civil and Structural Engineering, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.</p><p>Candidates to complete Sections A, B and D. Supporters to provide specimen initials in Section C and to initials those parts of Section D which are appropriate. Applying for election/transfer to Fellow Member/Corporate Member/Company Member/Affiliated Member/Associate Member : (Fire Group / Façade Group / Jointing, Welding and Cold-formed Steel Group) (Delete as appropriate) Section A Complete in block letters or type</p><p>Surname Prof/Dr/Ir/Mr/Mrs/Madam/Miss Female/Male </p><p>Other Names ID Card No. Chinese Name (if applicable)</p><p>Address for Communication</p><p>Tel Fax</p><p>Email </p><p>Residential Address </p><p>Tel Fax</p><p>Email </p><p>Company Name </p><p>Tel No. </p><p>Fax No. </p><p>Date of Birth Age Place of Birth </p><p>Section B Obligation and Certificate 1. I, the undersigned, agree that, in the event of my election to the Membership in the HKISC, I will be governed by the Constitution of the HKISC, as it now is, or as it may hereafter be amended. I promise to comply with the Rules of Conduct and promote the objectives of the HKISC as far as I am able. 2. I have / have not* been convicted of a criminal offence within the last seven years. 3. I declare that the above statements on this form are true and correct. 4. Completed application form should be returned to : President, HKISC, c/o TU743, Department of Civil and Structural Engineering, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong (Fax : 852-23346389, Tel.: 852-2766 6047, email: [email protected]) Note : HKISC stands for the Hong Kong Institute of Steel Construction</p><p>Signature of candidate Date Section C Attestation by Supporters</p><p>We, the undersigned, support the Candidate from personal knowledge, as a person worthy of consideration for election to the class of Member and we endorse the correctness of those parts of Section D which we have identified by our initials. (See footnote) Initials</p><p>Supporter 1 Full Name (in block letters) Prof./Dr./.Ir./Mr./Mrs./Miss*</p><p>Address for communication (in block letters)</p><p>Tel Professional Qualifications (If any)</p><p>HKISC Membership No. Signature</p><p>Initials</p><p>Supporter 2 Full Name (in block letters) Prof./Dr./.Ir./Mr./Mrs./Miss*</p><p>Address for communication (in block letters)</p><p>Tel Professional Qualifications (If any)</p><p>HKISC Membership No. Signature</p><p>Initials Supporter 3 Full Name (in block letters) Prof./Dr./.Ir./Mr./Mrs./Miss*</p><p>Address for communication (in block letters)</p><p>Tel Professional Qualifications (If any)</p><p>HKISC Membership No. Signature</p><p> delete as appropriate No. of supporters required Class of Membership Fellow Corporate Member Fellow Being Corporate Member for at least 3 years and supported by (permanent resident) recommended by Three Executive Board Members Corporate Member One Two (permanent resident) Company Member One Two Affiliated Member - Two Associate Member - Two PRIVATE AND CONFIDENTIAL</p><p>Section D  All sections to be completed.  Entries to be contained within space provided and typewritten.  Copies to be reduced to A4 size.</p><p>From To Academic qualifications Mth/Yr Mth/Yr (Photocopies of documentary evidence must be produced and certified by at least one Supporter as a true copy). University and country Award and date Discipline / Subject studied</p><p>Professional Experience, with company names, dates, posts held and exact nature of duties.</p><p>Date Professional qualifications (Photocopies* of documentary evidence must be produced and Qualified/Membership certified by at least one Supporter as a true copy). No. (DD/MM/YY)</p><p>Current organization Verifying Candidate’s present post tree. Initials______(Please identify your (All supporters) ______position.) Employer______</p><p>______</p><p>I declare that the statements in Section D are correct.</p><p>Candidate’s Signature______</p><p>Date______</p>