THE SOCIETY OF PROFESSIONAL DESIGNERS
EST. 1996
Application for Registration as a Fellow Member
Society use only |
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(Applicants please do not use the below box, staff use only) |
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Applicant's name: |
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Applicant's membership no.: |
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Assessment date: |
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Assessor's name: |
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Whether approved: |
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Note: Please fill in every section, using block letter, to avoid delay in application.
Section 1: Personal information:
English name: |
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Chinese Name: |
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Title: (Pls choose) |
□Mr □Ms |
(if any) |
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Date of birth: |
yr m d |
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Nationality: |
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Company Name: |
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Position: |
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Home address: |
Office address: |
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Postcode: □□□□□□ |
Postcode: □□□□□□ |
Mailing address: (Please choose) |
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□ Home □ Office □ PO Box:(If yes, pls provide) |
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Home: |
Phone: |
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Fax: |
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Office: |
Phone: |
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Fax: |
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Mobile: |
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Pager: |
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Email: |
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Section 3: Professional qualification:
Have u held any professional qualification from other professional bodies, or are u currently a member of other professional bodies? |
□ No □ Yes (If yes, please provide details below) |
Name of professional bodies |
Year of becoming a member |
Membership status / Professional qualification |
Position (if any) |
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Section 4: Academic record:
Please provide details of your academic record or professional training received:
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Section 5: Professional experience:
Please provide details of your professional / work experience:
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I declare that the above information is true and complete to the best of my knowledge and belief.
Applicant's signature: |
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Date: |
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