|
Application for election to membership/student registration
Please complete this online form to register with the ICB. Alternatively you can print the form for submitting by post.
Download Application form
Membership by Examination
If you wish to qualify for membership by completing ICB examinations, you are required to register as a 'student'. After submitting this online form you will be able to pay the non-refundable £48.00 Student Registration Fee in the Online Shop. You do not need to fill in information about qualifications or referees if you apply as a Student.
More information
Membership by Exemption
If you wish to qualify for membership by exemption from ICB examinations, you can submit your application using this online form, or download the full application form so that you can print and submit it with the required items by post, or email, together with payment details for the non-refundable £48.00 application fee.
More information
Download Application form
|
Please complete the following details. Fields
marked * are mandatory
|
|
|
|
|
|
|
Personal Details:
|
TITLE*
|
|
|
|
FIRST NAME*
|
MIDDLE NAME
|
LAST NAME*
|
|
|
|
|
|
|
Address:
|
COUNTRY*
|
|
|
|
ADDRESS LINE 1*
|
ADDRESS LINE 2
|
ADDRESS LINE 3
|
|
|
|
|
|
POSTCODE*
|
COUNTY/STATE*
|
|
|
|
|
|
Contact Details:
|
TELEPHONE*
|
FAX
|
MOBILE
|
|
|
|
|
|
EMAIL*
|
|
|
|
|
Date of Birth: *
|
/
/
|
|
|
Occupation:
*
|
|
|
|
|
|
Name of College: *
|
|
|
|
|
|
Type of Study:
|
|
|
|
|
|
Application Type:
*
|
|
|
|
|
|
|
Relevant Examinations passed with grades and dates awarded :
|
|
|
|
|
|
|
|
|
References :
|
|
|
|
Reference 1
|
Title*
|
|
|
First Name:
|
|
|
Last Name:
|
|
|
Address:
|
|
|
|
|
|
|
|
|
|
|
|
Postcode:
|
|
|
Country:
|
|
|
Email:
|
|
|
|
|
Reference 2
|
Title*
|
|
|
First Name:
|
|
|
Last Name:
|
|
|
Address:
|
|
|
|
|
|
|
|
|
|
|
|
Postcode:
|
|
|
Country:
|
|
|
Email:
|
|
|
|
Where did you hear about us?
|
|
|
|
|
|
|
|
|
|
|
|