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1、ApplicationforStudentMembership注意:请同时附上《会员个人细节更新表格》,保证我们今后与您的正常联系。Forclassesotherthanstudent,pleasecontacttheInstituteCIOBChina(CharteredInstituteofBuilding,China)Telephone:+86-10-65281070Facsimile:+86-10-65281075E-mailAddress:memenquiry@ciob.org.cnRoom11B,CITICBuilding,No19JianGuoMenWaiStreet,Be
2、ijing,100004,ChinaFORMM1FormM1OFFICEUSEONLYMembershipNumberFeesreceived¥RMBDatereceivedBatchNumberAPPLICANT’SDETAILSPLEASEUSEBLOCKLETTERSSurnameTanForenamesPengTitleSexM/FDateofBirthM19830802HomeAddress详细到门牌号No.88-56,NorthTuanjieStreet,LishanDistrict,Anshan,LiaoningProvincePostCode114031Telephone
3、04126340271AllocationAmountCodeSubscriptionExaminationFeesTotalReceivedMobilePhoneE-mail123456789xiaotian444@163.comFULLTIMESTUDENTTermTimeAddressNo.174,ShazhengStreet,ShapingbaDistrict,ChongqingPostCodeTelephone400045DateAdmittedClassEnteredMobilePhoneE-mail15826000000xiaotian444@163.comPARTTIME
4、STUDENTBusinessAddress(includingjobtitleandcompanyname)OfficeTelephoneMobilephoneFaxE-mailPleaseinformtheInstituteofanychangeofaddressFREESTUDENTMEMBERSHIPAnapplicationforfreeStudentMembershipmayonlybemadeundertheconditionslaidoutin1.1oftheMembershipNotes(pleaseseereversefordetails).Pleasetickbox
5、ifeligibleforfreeStudentMembership√APPLICANTSDECLARATIONIwishtobeadmittedintomembershipoftheStudentclassoftheCharteredInstituteofBuildingandifadmitted,undertaketoobservetheCharter,theBye-Lawsandtheregulationsforthetimebeinginforce.Ideclarethatthestatementsonthisformandinanyaccompanyingdocumentsar
6、etrue.SignatureTanyueDate20080426TheCIOBprocessesmemberinformationinaccordancewiththeDataProtectionAct1988.AcopyofthefullCIOBPrivacyPolicyisavailableonrequest.Occasionally,wherethereisjudgedtobebenefittomembers,appropriatedatamaybepassedtoathirdparty.Ifyouwishtobeincluded,pleasetickthisbox.√CERTI
7、FICATIONTobecompletedbyPrincipal/HeadofDepartment/DisciplineIcertifythattheabovenamedapplicantTitle这一板块的信息都要求填完整,包括:专业、学院、读书区间,年级ofcourse…ManagementScienceandEngineering………....…*a)hasbeenacceptedforNameofestablishment