Membership Application Form

Size: px
Start display at page:

Download "Membership Application Form"

Transcription

1 Chartered Building Company Professionalism and Integrity in Construction Membership Application Form ALL SECTIONS MUST BE COMPLETED Section 1: Details of company applying for Chartered Building Company (CBC) Membership COMPANY SCHEME ELIGIBILITY REQUIREMENTS A company must: Have its principal activity related to the construction industry Have 50% of its Executive Directors or Partners as Corporate Members of a relevant Chartered professional institution (see section 2) Sign an undertaking that it will abide by the current Code of Professional Conduct and Rules Full name of company: Main contact at company: FORENAME(S) SURNAME Company address: Post/zip code: (work) Mobile: AREA Website: Social media: (e.g. Facebook, Twitter, Linkedin) Registered address if different from above: 1

2 Section 2: About your company board Full listing of the Board Directors (or Partners) of applicant company TO BE A CHARTERED BUILDING COMPANY MEMBER, 50% OF YOUR EXECUTIVE BOARD NEEDS TO BE CHARTERED. A minimum of 25% of the Board are required to be Chartered with the CIOB (Member or Fellow) A further minimum of 25% of the Board need to be Chartered (Member or Fellow) via an Institute that is relevant to construction, as listed* here: CABE, CIAT, CIBSE, CIH, CIPD, ICE, ICES, IStructE, RIBA or RICS *This list is kept under review. Scottish, Irish and International equivalents will be accepted. Example: If the company has 8 Board Directors, at least 2 must be Chartered with the CIOB, and at least 2 more must be Chartered with other construction-related institutes listed above. If the number of Board Directors required to be Chartered is an uneven number, the table below specifies the Chartered board requirements. Total number of Executive Directors on Board 1 to 3 4 to 5 6 to 7 8 to Total minimum number of Chartered Board Contact Directors from the CIOB & other Qualifying Institutes CIOB * see list above Of which: A minimum number of CIOB Chartered Contact Board members (FCIOB or MCIOB Qualified) CIOB A minimum number of Non CIOB Chartered Contact Executive Board Directors with qualifying institutes CIOB (Fellows or Members) * see list above How many Board Directors (or Partners) does the company have? A. BOARD DIRECTORS WHO ARE CHARTERED WITH THE CIOB Position in Company Forename(s) Surname CIOB Membership Grade CIOB Membership Number Other Professional Membership(s) B. NON-CIOB BOARD DIRECTORS WHO ARE CHARTERED WITH OTHER QUALIFYING INSTITUTIONS Position in Company Forename(s) Surname Membership Grade Membership Number Please attach evidence of valid current non-ciob membership. 2

3 C. ALL OTHER BOARD DIRECTORS Position in Company Forename(s) Surname Highest Qualification If you have more Directors, please add an additional sheet. Additional sheet attached? YES NO D. IF NON-CIOB DIRECTORS REQUIRE DETAILS ON CIOB MEMBERSHIP, PLEASE PROVIDE THEIR CONTACT DETAILS BELOW: Name: Name: Name: Section 3: Commitment to the learning and development of the workforce Please complete section A, B,C or D A. I confirm the Company is a CIOB Training Partnership YES Training Partnership Number: B. I wish the company to join the CIOB Training Partnership Scheme, and enclose our completed application form YES C. The company does not wish to commit to become a Training Partnership at this time, however we have made a commitment to the learning and development of our workforce as detailed in the statement below. PLEASE PROVIDE EVIDENCE OF THE COMPANY S PREVIOUS 12 MONTHS TRAINING, LEARNING & DEVELOPMENT ACTIVITIES, AND THE NATURE OF THIS COMMITMENT: D. Please identify what Investors in People (IIP) level your company holds, if applicable, and attach current certificate(s). Standard Bronze Silver Gold Not applicable 3

4 Section 4: Average annual turnover Please tick the box which best indicates your company s average annual turnover from the last 3 years audited accounts or equivalent in local currency. Under 1m 1m - 5m 5m - 25m 25m - 50m Over 50m Date your company was founded D D M M Y Y If a UK business, is the business registered with Companies House? YES NO Registration Number: NAMES OF PARENT COMPANY AND OTHER GROUP COMPANIES, INDICATING WHETHER THEY ARE MEMBERS OF THE CHARTERED BUILDING COMPANY/CONSULTANCY SCHEME - WHERE APPLICABLE: Full Name of Parent Company CBC Member YES CBC Member NO Membership Number If the application is from a division of a company which is not a legal entity in its own right, Parent Company consent will be required (see section 9). Section 5: Compliance and submission of evidence Please enclose signed evidence of: Organisation chart with full list of Directors and Managers Confirmation of the legitimacy of the Company (e.g. Company registration or letter from Chartered Accountant or Auditor) Statement of financial health (e.g. annual accounts or letter from Accountant) Health and Safety policy or statement Environmental policy or statement Equal Opportunities policy or statement Quality Assurance statement Company approach to its corporate social responsibility Provide details of other relevant memberships and awards (e.g. Constructionline, CHAS, UKAS Registered ISO9001) Current certificate of insurance 4

5 Section 6: References Two references are required from clients and one from a senior person in your supply chain, all within the last 12 months. A. NAME AND ADDRESS OF A SENIOR PERSON WHO SUPPLIES YOUR BUSINESS WITH PRODUCTS OR SERVICES (IN BLOCK CAPITALS) Contact name: Company: Address: Post/zip code: Mobile: AREA B. NAMES AND ADDRESSES OF CLIENT REFERENCE (IN BLOCK CAPITALS) Contact name 1: Company: Address: Post/zip code: Mobile: AREA 5

6 Contact name 2: Company: Address: Post/zip code: Mobile: AREA Section 7: Specialism and geographic location BREAKDOWN OF RELEVANT WORK AREAS: Civil Groundworks Commercial/Industrial Building Concrete Repairs Conservation and Restoration Contract Management/Site Management Construction Planning Domestic Repair and Maintenance Alterations Demolition Design and Build Estimating Infrastructure Main Contractor Public and Community Repairs and Maintenance Residential Repairs and Public Maintenance Site/Structural Engineering Sub-Contractor Trade Contracting (Supply Chain Contracting) Other Write a brief summary of principal work areas of expertise: LOCATION Where are your principal geographic location(s) of operation (e.g. City, State, Country)? List here: 6

7 How did you hear about the CIOB CBC Scheme? CIOB Website CIOB LinkedIn CIOB Blog Word of Mouth CIOB Trustmark Website CIOB Facebook News Article CIOB Twitter Television CIOB Exhibition CIOB Branch Event CIOB Branch Staff Other Reason for joining: Job Leads Credibility Services CIOB Logo Tender Requirement Other Section 8: Applicants Declaration You must agree with all the declarations listed below before proceeding with the membership. Please initial each box for each declaration. We understand that we will be considered for Chartered Building Company membership and if admitted we undertake to observe the Rules and Code of Conduct of the Scheme and any other Regulations for the time being in force. A. CHARTER I am a Chartered Member of the CIOB who is an Executive Board Director, a Partner, or Sole Proprietor, of a company whose principle activity is within the construction sector. I confirm I am the appropriate representative for the company that is seeking membership of the Chartered Building Company Scheme. B. REGISTERED USER OF CIOB/CBC LOGO USAGE Chartered Building Company and the Lion logo are registered trademarks of the Chartered Institute of Building. The logo may be used by the CBC as long as the CBC remains in current membership of the CIOB. The logo must be used in conjunction with the CIOB brand guidelines. C. ACCURATE INFORMATION I declare that the documents and the statements provided on this form are true. We agree to pay the appropriate annual subscription as requested by the Institute. D. CRIMINAL CONVICTIONS STATEMENT Please confirm that you have disclosed to the CIOB full details of the following in relation to Company Directors: Any charge or conviction of a criminal offence where the penalty could be imprisonment unless it is now a spent conviction as provided in the Rehabilitation of Offenders Act 1974 or the equivalent in your jurisdiction Whether you are an undischarged bankrupt or within the last three years have been subject to any insolvency proceedings or other arrangements with creditors in respect of your debts (such as an Insolvency Voluntary Arrangement). If, at any time, the CIOB discovers that you or any director has failed to disclose any of the above or that you or any director has provided false information it will have the right to terminate your company membership with immediate effect (with no further obligation to refund any subscriptions or fees). Confirmation of any disclosures: If you wish to send this information confidentially then please write to: CBC Manager, The CIOB, 1 Arlington Square, Downshire Way, Bracknell, Berkshire, RG12 1WA, UK 7

8 Data Protection I understand that the information contained in this form will be processed in accordance with the Data Protection Act By signing and submitting this application for Chartered Building Company Membership, I understand and accept that I am accountable for the truth of this application for and on behalf of: Full company name: Forename(s): Surname: In the capacity of: (job title) Date: D D M M Y Y Signature: Section 9: Declaration by Director of Parent Company If the application is from a division of a company which is not a legal entity in its own right, written consent of the Parent Company is required, along with Parent Company commitment to the ethos of the Chartered Building Company Scheme. is a subdivision of and as the Executive Director of the Parent Company, I give my consent for the subdivision to apply for Chartered Building Company membership and I have read the Rules and Professional Conduct and agree to the ethos of the Scheme. Signed by: Director of Parent Company: Forename(s): In the capacity of: (job title) Surname: Date: D D M M Y Y AREA Section 10: Payment Details Once your application has been approved an invoice will be sent for payment. Payment methods are either by credit card, BACS or cheque (made payable to The CIOB). Payment is to be made on receipt of an invoice. Once you have received your invoice, if you wish to pay by credit card, please telephone the subscriptions team on +44 (0) Please return the form and supporting documents via to: e: cbcinfo@ciob.org.uk w: CBC Manager: +44 (0) CBC Support Team: +44 (0) The Chartered Institute of Building, 1 Arlington Square Downshire Way, Bracknell, Berkshire, RG12 1WA, UK t: +44 (0) e: reception@ciob.org.uk w: Registered charity in England and Wales (280795) and in Scotland (SC041725) CIOB107/0116 8

Rules and Regulations of Professional Competence and Conduct

Rules and Regulations of Professional Competence and Conduct (CIOB) represents for the public benefit the most diverse set of professionals in the construction industry. The CIOB s role is to: Promote the importance of the built environment Lead the industry to

More information

IFA/FTA membership application form 2017

IFA/FTA membership application form 2017 1 IFA/FTA membership application form 2017 1 Eligibility for membership Membership is open to individuals in finance, those who have achieved an accounting, financial or taxation qualification, or are

More information

Licence Application Form

Licence Application Form SECTION A YOUR FIRM S DETAILS 1. Name and address of firm. Postcode: Tel: Fax: Website: Contact Email: Email (to display on the NALS 'Find an Agent' online directory): Limited Company Registration No.

More information

Application Form Individual

Application Form Individual Application Form Individual 1. About You All sections MUST be completed Title: Surname: Title: Surname: Forename(s): Gender: Date of birth: Marital status: Nationality: National Insurance no. Forename(s):

More information

Application Form Company

Application Form Company Application Form Company 1. About the Company All sections MUST be completed Company s name: Registered address: Company s registered number: Nature of business: Date of incorporation: Trading address

More information

Recruitment Application Form and Equal Opportunities Monitoring Form

Recruitment Application Form and Equal Opportunities Monitoring Form Recruitment Application Form and Equal Opportunities Monitoring Form Please complete Position applying for: Salary required: per annum or per hour Available to take up employment: (date of length of notice

More information

AAT Licensed Accountant application form

AAT Licensed Accountant application form AAT Licensed Accountant application form Please complete this form in BLOCK CAPITALS. You must complete all sections to avoid delaying you application. If you have any questions about your application

More information

CIOB TIME AND COST MANAGEMENT CONTRACT CONSULTANCY APPOINTMENT CONTRACT ADMINISTRATOR SCHEDULES EDITION

CIOB TIME AND COST MANAGEMENT CONTRACT CONSULTANCY APPOINTMENT CONTRACT ADMINISTRATOR SCHEDULES EDITION CIOB TIME AND COST MANAGEMENT CONTRACT CONSULTANCY APPOINTMENT 09 CONTRACT ADMINISTRATOR SCHEDULES 8 + 9 2015 EDITION CIOB TIME AND COST MANAGEMENT CONTRACT CONSULTANCY APPOINTMENT 09 CONTRACT ADMINISTRATOR

More information

Application Form REINSW Agency/Branch Membership

Application Form REINSW Agency/Branch Membership Application Form REINSW Agency/Branch Membership REINSW APPLICANT INFORMATION CATEGORIES OF MEMBERSHIP AGENCY includes a sole trader, partnership, association, corporation, incorporated or unincorporated

More information

Qualification Awarding body Year

Qualification Awarding body Year Application for Registration as an Chartered Tax Adviser (CTA) Student 2018 Personal Details Title: Surname: First Name: Work Telephone Number: Mobile Telephone Number: E-mail (A valid e-mail address is

More information

Licensed Bookkeeper application

Licensed Bookkeeper application Licensed Bookkeeper application Please complete this form in BLOCK CAPITALS. If you have any questions about your application please call the Customer Service team on +44 (0)20 3735 2468. Lines are open

More information

Application form for a restricted FM service Radio Broadcasting Licence

Application form for a restricted FM service Radio Broadcasting Licence Application form for a restricted FM service Radio Broadcasting Licence (Audio media service) Name of applicant (i.e. the company, partnership, etc applying for the licence):... Name of service:... (Issue

More information

Asbestos Professional Indemnity Scheme

Asbestos Professional Indemnity Scheme Please fill out this form using the latest version of adobe reader Download the latest version here: http://get.adobe.com/uk/reader/ Asbestos Professional Indemnity Scheme TELEPHONE 020 7977 4800 WWW.LONDONMARKETBROKING.CO.UK

More information

Welcome to our world! Discover the value of membership for free.

Welcome to our world! Discover the value of membership for free. Welcome to our world! Discover the value of membership for free. Join for free If you re serious about a career in risk or wealth management, you need to get to know the sector and the people as soon as

More information

Qualification Awarding body Year

Qualification Awarding body Year Application for Registration as an Chartered Tax Adviser (CTA) Student 2018 Personal Details Title: Surname: First Name: Work Telephone Number: Mobile Telephone Number: E-mail (A valid e-mail address is

More information

Residential Mortgage Application Form - First Charge

Residential Mortgage Application Form - First Charge Residential Mortgage Application Form - First Charge Please check that the information stated is correct. Make sure you read and complete ALL sections before signing and dating the declaration. 1. Credit

More information

Qualification Awarding body Year

Qualification Awarding body Year Application for Registration as an Chartered Tax Adviser (CTA) Student 2017 Personal Details Title: Surname: First Name: Work Telephone Number: Mobile Telephone Number: E-mail (A valid e-mail address is

More information

Small Self-Administered Scheme SSAS. Takeover Application.

Small Self-Administered Scheme SSAS. Takeover Application. Small Self-Administered Scheme SSAS Takeover Application www.investaccpensions.co.uk Contents Company Information 2 Scheme Information 4 Additional Information 5 Member Information (1) 11 Member Information

More information

SIPP. Supplementary Contribution Application Form. Self-Invested Personal Pension

SIPP. Supplementary Contribution Application Form.   Self-Invested Personal Pension Self-Invested Personal Pension SIPP (To add or alter contributions to an existing SIPP) www.investaccpensions.co.uk Section A - Personal Details Please supply the following personal information. Title

More information

Qualification Awarding body Year

Qualification Awarding body Year Application for Registration as an Student 2018 Personal Details Title: Surname: First Name: Work Telephone Number: Mobile Telephone Number: E-mail (A valid e-mail address is mandatory when enrolling as

More information

Suitability for membership

Suitability for membership Suitability for membership AAT is a registered charity. No. 1050724 1 Suitability for membership Contents Introduction... 3 Why does AAT assess suitability?... 3 Disclosure... 3 What do I need to disclose?...

More information

Application for Membership

Application for Membership WWW 0333 321 9418 info@theprs.co.uk.theprs.co.uk @PropertyRedress Application for Membership Property Agents The Property Redress Scheme is a government authorised Consumer Redress Scheme for Lettings,

More information

Agency Details. Underwriting Contact Details. iprism Site Administrator. Accounts Contact Details. About Your Business

Agency Details. Underwriting Contact Details. iprism Site Administrator. Accounts Contact Details. About Your Business Agency Details Agency Name and Trading Title, (the Agent ): iprism Underwriting Agency Limited AGENCY AGREEMENT Please return completed agreement to: Agency Department, iprism Underwriting Agency Limited,

More information

ADDING OR AMENDING CONTRIBUTIONS ON YOUR INITIAL PRICE PERSONAL PENSION (PP5)

ADDING OR AMENDING CONTRIBUTIONS ON YOUR INITIAL PRICE PERSONAL PENSION (PP5) Financial adviser stamp ADDING OR AMENDING CONTRIBUTIONS ON YOUR INITIAL PRICE PERSONAL PENSION (PP5) Financial adviser agency number Please enter your business postcode Are you enclosing a cheque with

More information

Surveyors Professional Indemnity

Surveyors Professional Indemnity Please fill out this form using the latest version of adobe reader Download the latest version here: http://get.adobe.com/uk/reader/ Surveyors Professional Indemnity TELEPHONE 020 7977 4800 WWW.LONDONMARKETBROKING.CO.UK

More information

Business Application Form

Business Application Form Insurance Protection Business Application Form! If you take a deposit from your tenant on an Assured Shorthold Tenancy agreement in England and Wales, you must protect it with a government-authorised tenancy

More information

SIPP. Supplementary Contribution Application Form. Self-Invested Personal Pension

SIPP. Supplementary Contribution Application Form.   Self-Invested Personal Pension Self-Invested Personal Pension SIPP (To add or alter contributions to an existing SIPP) www.investaccpensions.co.uk Section A - Personal Details Please supply the following personal information. Title

More information

Decision in Principle Form Buy to Let Second Charge Loans

Decision in Principle Form Buy to Let Second Charge Loans Decision in Principle Form Buy to Let Second Charge Loans FAO: Second Charge Underwriting Team - Precise Mortgages Decision in Principle for: Name Please confirm below the type of product(s) required.

More information

APPLICATION TO BECOME AN APPROVED TRAVEL BROKER

APPLICATION TO BECOME AN APPROVED TRAVEL BROKER Form AS1 APPLICATION TO BECOME AN APPROVED TRAVEL BROKER T RAVEL AGENT S ASSOC IATI ON OF NEW ZEALAND Level 3 Tourism & Travel House 79 Boulcott Street PO Box 1888 WELLINGTON 6140 DX SX10033 For your record

More information

LANDFILL TAX CREDIT SCHEME

LANDFILL TAX CREDIT SCHEME LANDFILL TAX CREDIT SCHEME Following its introduction in October 1996, a useful source of income for Congregations intending to carry out fabric projects has been the Landfill Tax Credit Scheme ( LTCS

More information

Buy to Let Application form

Buy to Let Application form Buy to Let Application form 1. Credit Intermediary (broker) Company: Contact Name: Email: 2. Loan Net Amount: Gross Amount (including fees): Term: Purpose: 3. Applicant 1 Title: First Names: Surname: Maiden

More information

Buy to Let Mortgage Application Form - First Charge

Buy to Let Mortgage Application Form - First Charge Buy to Let Mortgage Application Form - First Charge Please check that the information stated is correct. Make sure you read and complete ALL sections before signing and dating the declaration. 1. Credit

More information

2 INTRODUCTION GENERAL OBLIGATIONS Principal, Partner or Director responsibilities Breaching the Rules...

2 INTRODUCTION GENERAL OBLIGATIONS Principal, Partner or Director responsibilities Breaching the Rules... SCHEME RULES April 2019 1 1 Contents 2 INTRODUCTION... 4 3 GENERAL OBLIGATIONS... 4 3.1 Principal, Partner or Director responsibilities... 4 3.2 Breaching the Rules... 5 4 CLIENT MONEY... 5 4.1 Client

More information

Withdrawal/Closure form

Withdrawal/Closure form Withdrawal/Closure form For use with the Individual Savings Account (ISA) MARCH 2018 It is important that you are aware that the Old Mutual ISA is not a Flexible ISA, meaning that any money you withdraw

More information

Second Charge Loan Application Submission Form

Second Charge Loan Application Submission Form Second Charge Loan Application Submission Form FAO: Second Charge Underwriting Team - Precise Mortgages Application form for Name Post code Mortgage Illustration ID A: / The following are attached: completed

More information

Employee Fraud Loss. Employee Client Fraud Loss. Forgery Or Alteration Loss Yes No. On Premises Loss Yes No. In Transit Loss Yes No

Employee Fraud Loss. Employee Client Fraud Loss. Forgery Or Alteration Loss Yes No. On Premises Loss Yes No. In Transit Loss Yes No Crime Insurance PRoPosAl FoRm Please answer all questions. If you have insufficient space to complete an answer, attach a separate signed and dated sheet and identify the question number concerned. Please

More information

Title Surname Forename(s) D.O.B. 1% AMC. Please select if you do not have an Agent or where your Agent is not paid trail commission.

Title Surname Forename(s) D.O.B. 1% AMC. Please select if you do not have an Agent or where your Agent is not paid trail commission. K Fundsmith Equity Fund Please complete this form in ink using BLOCK CAPITALS. Return the form to your adviser or Fundsmith LLP, PO Box 10846, Chelmsford, CM99 2BW. The Key Investor Information Document

More information

Office Use Only. Section 2 Applicant Details and Establishment (see Note 2 in the Guide) 2A Name of Applicant. 2B Business Address of Applicant

Office Use Only. Section 2 Applicant Details and Establishment (see Note 2 in the Guide) 2A Name of Applicant. 2B Business Address of Applicant Return this application to: Road Transport Operator Licensing Unit Department of Transport, Tourism and Sport Clonfert House, Bride Street, Loughrea, Co. Galway ROAD HAULAGE OPERATOR S LICENCE APPLICATION

More information

Sippchoice Bespoke SIPP

Sippchoice Bespoke SIPP Sippchoice Bespoke SIPP Application Form (from 1 January 2019) Please indicate the unique reference number shown on the Key Features Illustration that you received with this application. Failure to complete

More information

AGENCY APPLICATION (INDIVIDUAL)

AGENCY APPLICATION (INDIVIDUAL) AGENCY APPLICATION (INDIVIDUAL) To: Agency Department Date: AIG Asia Pacific Insurance Pte. Ltd. AIG Building 78 Shenton Way #07-16 Singapore 079120 From: Full Name as per NRIC/passport: Agency Name (if

More information

Personal Finance qualification

Personal Finance qualification Bacs and cheque payment application form Reference: (CII use only) Personal Finance qualification Order securely online Orders can be placed securely online, using a credit or debit card, by visiting cii.co.uk/qualifications

More information

MAGNET APPROVED INSTALLER (Sub Contract) APPLICATION FORM

MAGNET APPROVED INSTALLER (Sub Contract) APPLICATION FORM MAGNET APPROVED INSTALLER (Sub Contract) APPLICATION FORM Area Installation Manager Area - Central Installations Office Magnet Ltd Ashfield Mills Keighley Road Crossflatts, Bingley West Yorkshire BD16

More information

Motor Trade Road Risks Proposal Form

Motor Trade Road Risks Proposal Form Motor Trade Road Risks Proposal Form coveainsurance.co.uk Motor Trade Road Risks Proposal Form Important notes 1. You are reminded of the need to disclose any material facts, i.e. those that the Insurer

More information

ChildminderAgency. Insurance for Childcare Agencies (registered with Ofsted) Proposal. Arranged by Morton Michel

ChildminderAgency. Insurance for Childcare Agencies (registered with Ofsted) Proposal. Arranged by Morton Michel ChildminderAgency Insurance for Childcare Agencies (registered with Ofsted) Proposal Arranged by Morton Michel Covea Insurance plc Insurance for ChildminderAgency Proposal Form To be able to take out the

More information

Bridging Loans Additional guarantor form

Bridging Loans Additional guarantor form Bridging Loans Additional guarantor form Intermediary details Contact name Email Your customer reference Fax number (including STD code) Are you? Directly Authorised by the FCA Part of a Network Financial

More information

Group Money Purchase Plan

Group Money Purchase Plan Group Money Purchase Plan Member application Please complete in CAPITAL LETTERS and where appropriate. Please complete this application, sign it and return it to your employer. This form should be kept

More information

Engineers Professional Indemnity

Engineers Professional Indemnity Please fill out this form using the latest version of adobe reader Download the latest version here: http://get.adobe.com/uk/reader/ Engineers Professional Indemnity TELEPHONE 020 7977 4800 WWW.LONDONMARKETBROKING.CO.UK

More information

Chartered Accountants Australia and New Zealand Application for a Certificate of Public Practice by a New Zealand resident member

Chartered Accountants Australia and New Zealand Application for a Certificate of Public Practice by a New Zealand resident member Chartered Accountants Australia and New Zealand Application for a Certificate of Public Practice by a New Zealand resident member Please fill in your Membership Number, if known Please complete ALL sections

More information

Decision in Principle Form Residential Second Charge Loans

Decision in Principle Form Residential Second Charge Loans Decision in Principle Form Residential Second Charge Loans FAO: Second Charge Underwriting Team - Precise Mortgages Decision in Principle for: Name Please confirm below the type of product(s) required.

More information

Issued 19/10/ :59:00 Page 1 of 5

Issued 19/10/ :59:00 Page 1 of 5 Thank you for your interest in employment with us. This form has been designed to tell us all we need to know about you at this stage. Please complete the form in black ink and block capitals. Due to the

More information

Application for Employment

Application for Employment Application for Employment Please complete this form fully, using block capital letters. The information that you supply on this form will be treated in confidence. Applications are invited from people

More information

Application for direct admission to membership

Application for direct admission to membership DM 2018 Application for direct admission to membership Scheme A (Membership Regulation 3(c)) is for applicants who are members of a body and hold an appropriate qualification recognised under the UK Companies

More information

Appeal against medical advice injury benefit - CSIBS 2

Appeal against medical advice injury benefit - CSIBS 2 CSIBS2 P1 Appeal against medical advice injury benefit - CSIBS 2 P 1 Member to complete You should refer to the The Medical Reviews and Appeals Guide, when filling this in. Your employer should have given

More information

Establishment Application

Establishment Application Small Self-Administered Scheme SSAS Establishment Application www.investaccpensions.co.uk Contents 2 Company Information 5 Scheme Information 6 Purpose of Scheme 7 Bank and Identity Verification 8 Adviser

More information

SURVEYORS PROFESSIONAL INDEMNITY INSURANCE

SURVEYORS PROFESSIONAL INDEMNITY INSURANCE PROPOSAL FORM SURVEYORS PROFESSIONAL INDEMNITY INSURANCE Brunel Professional Risks Ltd St Thomas Court Thomas Lane Bristol BS1 6JG T: +44 (0)117 325 2224 F: +44 (0)117 325 2225 E: contactus@brunelpi.co.uk

More information

LIFT Shared Equity - Application Pack New Supply Shared Equity

LIFT Shared Equity - Application Pack New Supply Shared Equity LIFT Shared Equity - Application Pack New Supply Shared Equity Highland Residential 68 MacLennan Crescent Inverness IV3 8DN 01463 701271 Email: lift@highlandresidential.co.uk Further to your enquiry regarding

More information

INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS OF KENYA. The Accountants Act No.15 of 2008

INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS OF KENYA. The Accountants Act No.15 of 2008 APPLICATION FOR INCLUSION IN THE LIST OF AUDITORS FOR THE YEAR 2015 This form should be completed by every holder of a practicing certificate who is an Accountant in Practice and wishes to continue as

More information

About your application

About your application Savings Business savings Fixed Term Deposit About your application About your application Account name What is the interest rate? Business Fixed Term Deposit You can find the rate in our Fixed Term Deposit

More information

Modern Merchant Banking

Modern Merchant Banking Modern Merchant Banking Business Notice Account (BNA) Issue 6 Summary Box This application form cover sheet provides you with two product summary boxes for the terms currently available on this product.

More information

SAVER PLUS ACCOUNT APPLICATION FORM

SAVER PLUS ACCOUNT APPLICATION FORM 1 Account Opening Details Note: Please make cheques payable to the applicant(s) name I/we apply to open a SAVER PLUS ACCOUNT and enclose being the initial deposit and agree to deposit a minimum of 0 monthly

More information

Approved Establishment Scheme

Approved Establishment Scheme Registered Charity Nos. 210504 and SC038516 Approved Establishment Scheme How approval with the BHS can help you Information Pack and Application Form Thank you for your interest with regard to gaining

More information

Additional applicant form

Additional applicant form Buy-to-let mortgages - n-portfolio Additional applicant form This application form should only be used to add a further applicant to an existing application originally submitted online. Please confirm

More information

Scotwest Credit Union Membership Application Payroll Deduction

Scotwest Credit Union Membership Application Payroll Deduction Scotwest Credit Union Membership Application Payroll Deduction Scotwest offers ethical, competitive and fair financial services. Joining Scotwest gives you access to a range of financial services including

More information

SIO Supervisor Application Form

SIO Supervisor Application Form SIO Supervisor Application Form Any personal information collected is for the purpose of assessing an application to be a Summary Instalment Order Supervisor under the Insolvency Act 2006. The information

More information

JERK TO YOUR DOOR BIKE COURIER

JERK TO YOUR DOOR BIKE COURIER Please fill out in BLOCK CAPITALS Surname JERK TO YOUR DOOR BIKE COURIER First Name Date Of Birth Address National Insurance Number Email address Home Telephone Number Bank and Branch Mobile Number Sort

More information

Application for direct admission to membership

Application for direct admission to membership 2013 DM Application for direct admission to membership Scheme A (Membership Regulation 3(c)) is for applicants who are members of a body and hold an appropriate qualification recognised under the UK Companies

More information

WASTE & RECYCLING LIABILITY

WASTE & RECYCLING LIABILITY Please fill out this form using the latest version of adobe reader Download the latest version here: http://get.adobe.com/uk/reader/ WASTE & RECYCLING LIABILITY TELEPHONE 020 7977 4800 WWW.LONDONMARKETBROKING.CO.UK

More information

THE REGISTER CONTAINS TWO LISTS: THE LIST OF MAIN CONTRACTORS AND THE LIST OF SPECIALIST CONTRACTORS.

THE REGISTER CONTAINS TWO LISTS: THE LIST OF MAIN CONTRACTORS AND THE LIST OF SPECIALIST CONTRACTORS. THE REGISTER CONTAINS TWO LISTS: THE LIST OF S AND THE LIST OF SPECIALIST CONTRACTORS. A COMPANY APPLIES EITHER AS A OR AS A SPECIALIST CONTRACTOR. IF A COMPANY WISHES TO APPEAR ON BOTH LISTS, TWO APPLICATIONS

More information

Corporate Membership Application/Renewal

Corporate Membership Application/Renewal Illuminating Engineering Society of Australia and New Zealand Limited ABN 99 100 686 039 Secretariat: PO Box 576 Crows Nest NSW 1585 AUSTRALIA Telephone +61 2 9431 8663 Facsimile +61 2 9431 8677 Email:

More information

Date received Amount received Name DECLARATION FORM

Date received Amount received Name DECLARATION FORM Date received Amount received Name DECLARATION FORM I have never been convicted of, or charged (but not yet tried) with any criminal offence, other than motoring offences, or offences that are spent under

More information

SHARED OWNERSHIP REGISTRATION FORM

SHARED OWNERSHIP REGISTRATION FORM Office Use Only: Date Received SHARED OWNERSHIP REGISTRATION FORM The information on this form is important therefore if you require any help in completing it please contact our Glenrothes office for assistance

More information

APPLICATION FOR ADMISSION AS FELLOW

APPLICATION FOR ADMISSION AS FELLOW APPLICATION FOR ADMISSION AS FELLOW 1. Personal Details (please type or print in block letters) Title: Mr/Mrs/Miss/Ms... Family Name Given Names Firm/Company Name Business Address.... State. Postcode...

More information

Existing PVG Scheme Member Application Guidance Notes

Existing PVG Scheme Member Application Guidance Notes Existing PVG Scheme Member Application Guidance Notes Jubilee House Forthside Way Stirling FK8 1QZ Telephone: 01786 849777 Email: info@crbs.org.uk Website: www.crbs.org.uk XC2605 Existing PVG Scheme Member

More information

PERSONAL PENSION (TOP UP PLAN) APPLICATION FORM

PERSONAL PENSION (TOP UP PLAN) APPLICATION FORM PERSONAL PENSION (TOP UP PLAN) APPLICATION FORM CHECKLIST TO BE COMPLETED BY YOUR FINANCIAL ADVISER Have you fully completed your company details on page 2? Yes No Have you completed and enclosed a separate

More information

TRANSFER OF EQUITY APPLICATION FORM. This form should be used for Buy to Let and Let to Buy applications only.

TRANSFER OF EQUITY APPLICATION FORM. This form should be used for Buy to Let and Let to Buy applications only. TRANSFER OF EQUITY APPLICATION FORM This form should be used for Buy to Let and Let to Buy applications only. Account Number Please complete Names of Existing Borrowers: Title Mr Mrs Miss Ms Other First

More information

Application for reinstatement to membership (or reinstatement to the affiliate register)

Application for reinstatement to membership (or reinstatement to the affiliate register) 2012 RM Application for reinstatement to membership (or reinstatement to the affiliate register) Please use BLOCK CAPITALS and black ink throughout. Members or affiliates who were removed from the register

More information

Uncrystallised Funds Pension Lump Sum Application form

Uncrystallised Funds Pension Lump Sum Application form Uncrystallised Funds Pension Lump Sum Application form ADVISED This form must be completed when requesting an Uncrystallised Funds Pension Lump Sum (UFPLS). It is not intended for drawdown. Please complete

More information

Modern Merchant Banking

Modern Merchant Banking Modern Merchant Banking Treasury Summary Box This application form cover sheet provides you with a product summary box for each term currently available. Account name What is the interest rate? Can Close

More information

Licensed Accountant application

Licensed Accountant application Licensed Accountant application Please complete this form in BLOCK CAPITALS. If you have any questions about your application please call the Customer Service team on +44 (0)20 3735 2468. Lines are open

More information

Next Generation Guarantor Application Form

Next Generation Guarantor Application Form Next Generation Guarantor Application Form YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE. PO BOX 509, TUDOR HOUSE, THE BORDAGE, ST PETER PORT, GUERNSEY, GY1 6DS, GREAT

More information

IPAS Limited INSOLVENCY PRACTITIONERS ASSOCIATION OF SINGAPORE LIMITED APPLICATION FOR ADMISSION AS FELLOW / ASSOCIATE 1. I, (FULL NAME) of (ADDRESS)

IPAS Limited INSOLVENCY PRACTITIONERS ASSOCIATION OF SINGAPORE LIMITED APPLICATION FOR ADMISSION AS FELLOW / ASSOCIATE 1. I, (FULL NAME) of (ADDRESS) IPAS Limited RECENT PASSPORT SIZE PHOTOGRAPH INSOLVENCY PRACTITIONERS ASSOCIATION OF SINGAPORE LIMITED APPLICATION FOR ADMISSION AS FELLOW / ASSOCIATE 1. I, (FULL NAME) hereby apply to be admitted as a

More information

INSURANCE COUNCIL OF BRITISH COLUMBIA

INSURANCE COUNCIL OF BRITISH COLUMBIA FEE SCHEDULE - LICENSING LICENCE FEES Please ensure that you submit the correct fee. An application submitted with insufficient fees will be returned to the applicant unprocessed. First Application and

More information

PERSONAL QUESTIONNAIRES GUIDANCE NOTE

PERSONAL QUESTIONNAIRES GUIDANCE NOTE PERSONAL QUESTIONNAIRES GUIDANCE NOTE INTRODUCTION This document is intended to provide assistance by highlighting and clarifying areas of uncertainty that may arise when completing a Personal Questionnaire

More information

Application for reinstatement to membership or reinstatement to the affiliate register

Application for reinstatement to membership or reinstatement to the affiliate register 2013 RM Application for reinstatement to membership or reinstatement to the affiliate register Please use BLOCK CAPITALS and black ink throughout. Members or affiliates who were removed for non-payment

More information

Cofunds Pension Account Capped Drawdown Application form

Cofunds Pension Account Capped Drawdown Application form Cofunds Pension Account Capped Drawdown Application form This form must be completed when requesting a tax-free lump sum and/or a pension income if required through capped drawdown. It is not intended

More information

Re The Guidance Notes Booklet tells you how to complete this form easily and correctly

Re The Guidance Notes Booklet tells you how to complete this form easily and correctly Rule 6.41(1) NOTE: These details will be the same as those shown at the top of your petition Please complete this form in black ink. Statement of Affairs (Debtor s Petition) Insolvency Act 1986 In the

More information

Provided by Scottish Widows Bank SUMMARY BOX SUMMARY BOX. The interest rate is variable. The current rate is shown in the table below.

Provided by Scottish Widows Bank SUMMARY BOX SUMMARY BOX. The interest rate is variable. The current rate is shown in the table below. E-CASH ISA 3 Provided by Scottish Widows Bank SUMMARY BOX PLEASE READ THIS SUMMARY BOX BEFORE YOU COMPLETE THE APPLICATION AND THEN KEEP IT FOR YOUR RECORDS. DON T RETURN IT WITH THE APPLICATION. This

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Do not include a CV with this application as it will not be accepted. Applications received after the closing date/time will not be considered. Post applied for: Where did you

More information

Proposer Details. Application Form for Professional Indemnity and Liability Insurances Surveyors

Proposer Details. Application Form for Professional Indemnity and Liability Insurances Surveyors Application Form for Professional Indemnity and Liability Insurances Surveyors This application form must be completed signed and dated by your Principal, Director or Partner Please ensure that all questions

More information

Approved Contractor Scheme. Application Form

Approved Contractor Scheme. Application Form Approved Contractor Scheme Application Form General Information The Approved Contractor Scheme (ACS) is a voluntary scheme for the private security industry open to organisations subject to regulation

More information

RETIREMENT ACCOUNT TRANSFERRING SCHEME DETAILS (ONLINE ADVISED TRANSFERS INTO RETIREMENT PLANNING)

RETIREMENT ACCOUNT TRANSFERRING SCHEME DETAILS (ONLINE ADVISED TRANSFERS INTO RETIREMENT PLANNING) RETIREMENT ACCOUNT TRANSFERRING SCHEME DETAILS (ONLINE ADVISED TRANSFERS INTO RETIREMENT PLANNING) Scottish Widows will only accept transfers where financial advice has been given. Warning: You must not

More information

PERSONAL PENSION PLUS TRANSFER APPLICATION FORM. For post 30 June 1988 plans only

PERSONAL PENSION PLUS TRANSFER APPLICATION FORM. For post 30 June 1988 plans only PERSONAL PENSION PLUS TRANSFER APPLICATION FORM For post 30 June 1988 plans only Warning: You must not make false statements when filling in this application; it is a serious offence. The penalties are

More information

o Part 3 Your Experience and Qualifications

o Part 3 Your Experience and Qualifications This form of six pages when completed should be returned to the IPA Membership Officer, Nikki Haggis, Insolvency Practitioners Association, Valiant House, Heneage Lane, London EC3A 5DQ AM1: Application

More information

Member Application. If you require this document in another format for ease of reading, please let us know.

Member Application.   If you require this document in another format for ease of reading, please let us know. Member Application If you require this document in another format for ease of reading, please let us know. Making Sense of Pensions 1 Important Information you give in this Application Form is needed for

More information

Phone: Fax: Website: Application for Registration as a Contractor

Phone: Fax: Website:   Application for Registration as a Contractor 5th Floor, Mutual Aid Building II, 5, Guy Rozemont Square, Port Louis, Mauritius Phone: +230 211 7878 Fax: +230 211 0380 E-mail: cidbmauritius@intnet.mu Website: http://cidb.gov.mu Application for Registration

More information

Registered Pension Schemes Dependant s Benefit Election Form. Form

Registered Pension Schemes Dependant s Benefit Election Form. Form Registered Pension Schemes Dependant s Benefit Election Form Form Policyholder/Member details (Office use) Policyholder/Member Policy number(s) Scheme name Electing a benefit option Please read the enclosure,

More information

Firm Registration Form

Firm Registration Form Firm Registration Form This registration form should be completed by firms who are authorised and regulated by the Financial Conduct Authority. It is for advisers who wish to recommend our mortgage products,

More information

Member Application. If you require this document in another format for ease of reading, please let us know.

Member Application.   If you require this document in another format for ease of reading, please let us know. Member Application If you require this document in another format for ease of reading, please let us know. Making Sense of Pensions 1 Important Information you give in this Application Form is needed for

More information

Section A Personal details. Have you ever had previous contact with the CII? (Please tick) Yes No PIN

Section A Personal details. Have you ever had previous contact with the CII? (Please tick) Yes No PIN Reference: (CII use only) Important notes: Please complete all sections of this form in BLOCK CAPITALS and return to: CII Customer Service, 42 48 High Road, South Woodford, London, E18 2JP If you require

More information

AGENCY APPLICATION JS/020913

AGENCY APPLICATION JS/020913 AGENCY APPLICATION Tradex Insurance Company Limited ncy Department, 1 Hall Street, Featherstone, Pontefract, West Yorkshire WF7 5LS Telephone: 01977 791199 Fax: 01977 708985 Email: agency@tradex.com www.tradex.com

More information