Affiliate Application Form

NB: Please note that we only accept applications from the UK and the Republic of Ireland.

Affiliate Membership does not apply to previously lapsed members.

Complete this simple application form to become an Affiliate Member of the Institute giving you instant access to IHIE services. We can then advise you on how best to progress. This depends on your initial qualifications and range of experience. Being
an Affiliate is FREE for the first year.

Your Details
Surname *
First Name *
Title *	Mr Mrs Miss Ms
Date of Birth *
E-mail *
Home Address *
Postcode *
Tel. *
Employment Details
Employer *
Job Title *
Field of Work *
Business Address *
Postcode *
Tel. *
Fax
Qualifications
List of major qualifications and date awarded
Are you currently registered with the Engineering Council? *	Yes No Unsure
If yes, in which section?	CEng IEng EngTech
How long have you been employed in engineering? (years) *
Subscription Details
Affiliate membership is FREE for one year.
I wish to receive Surveyor weekly and attach £36	Yes please
Declaration
By submitting this application, I confirm that I wish to join the Institute of Highway Incorporated Engineers and agree to observe the Memorandum and Articles.
Please contact me to discuss upgrading	Yes please
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