Section A: Contact Details

Contact

*Name  

*Date of birth  

Nationality

*Address  

Telephone

*Email    

For Professionals

Company/Organisation Registered Address

Telephone Website

Email Years at company

Title/designation Short description of current role

For Students

University Address

Telephone

Email

Programme of Study

Expected date of completion

Year of study

Significant achievements/awards/honors(academic or at your workplace)

Any relevant experience with India

Your motivation/objective for joining the Next Generation Network

Section B: Sector of Interest

Industry Focus (please check the areas in which you operate)

Advanced Engineering Advanced Engineering Automotive and Transport Built Environment Creative and Media Defence and Security Education and Skills Energy and Resources (inc, oil and gas, power and water) Engineering Environmental Financial and Legal Services FMGC ICT Life Sciences Retail Sport, Lesiure and Tourism Other

Would you be interested in being an expert speaker to helping to organise events in sectors of your interest?

Tick box

How did you hear about UKIBC?

Personal Introduction Press Mailing Event Other

Section C: Data Protection

I agree that UKIBC may hold and process all personal and business information which I am supplying with this application form and any further information I supply during the course of my membership.

Please tick

Section D: Members Resources

UKIBC will automatically send you the following communications, please tick if you do not wish to receive them.

Weekly news updates and a regular newsletter
Invitations to events/delegations/partner events and external events
Business services information in relation to your membership

Section E: Completed Applications

The UKIBC Next Generation Network membership is only suitable for young professionals under the age of 40. This reflects the unique nature of the programme and does not preclude entry to other UKIBC memberships or activities.

Membership Fees are as follows:

Students: £90 + VAT
Entrepreneurs/Professionals: £150 + VAT

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