7/28/2019 GIOC Membership Application Form-1.pdf

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THE GHANA INSTITUTE OF CONSTRUCTION (GIOC)

MEMBERSHIP APPLICATION FORM

1. Name of Applicant..(Surname) (First Name/s)

2. Date of Birth3. Class of membership for which this application is being made.......4. Address (Home)5. E-mail address .

Telephone ( Home) .......................Mobile

6. Name of Present Employer..(If receiving education, state name of school and type of course)

Description of Employer.

(Indicate the type of activity of organisation / institutional type if in education)

Address of Employer.

..

Telephone (Office/Business) Direct Line

7. State position in your organisation (or level / year) if in education...............8. State Highest Qualifications (Academic) ...........................9. Membership of Professional Bodies..

i. Name(Class of Membership)..Year joined ..ii. Name. (Class of Membership).Year joined ..

iii. Name(Class of Membership)...Year joined ..

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10.EDUCATION AND TRAINING (start with the last school attended ending with secondary education)

Name and address of

School/UniversityYear Started Year Completed Qualification Gained

11. EMPLOYMENT HISTORY (start with current/last employer and continue on another sheet if needed)

Name and address of Firm Position Held From ToReasons for

leaving firmRemarks

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12. DECLARATION BY APPLICANTI enclose a non-refundable application fee in the sum of.Ghana Cedis

(All payments should be by cheque drawn to GIOC) or bankers draft. You may contact the office to

arrange alternative forms of payment). I declare that:

a. To the best of my knowledge the information given is true and accurateb. If accepted to any class of membership, I will abide by the institutes rules ofprofessional

conduct and constitution and will not engage I any activity that will bring the Institute into

disrepute.

c. I understand that my progression in membership depends not only upon my complying withthe institutes academic requirement but also upon my acquiring practical experience in the

management and production of building and construction activities of a satisfactory nature,

duration and level defined in the institutes constitution.

Date Signature of Applicant....................

13. DECLARATION BY PROPOSER(Proposers must be Institute members in good standing and known applicant for at least one year)

*Name of Proposer 1. . Signature

Date. Membership No. ....

Please send completed application to:

Head of Membership

GIOC

C/o Department of Building Technology

KNUST

UPO, PMB, Kumasi

FOR OFFICE USE ONLY

Fees received.. Application..

Date received... Acknowledged

Folio NoAdmittedCategory of Membership................................................

Remarks....

Certified by membership board

(Signed, Head of Membership)

Certificate issued No. .....................................

Date .

*Applications for students and those receiving training may be certified by the head of institution.