Application for the IBITA Associate Membership

Membership Registration Form

In case of an application for the IBITA associate membership, the Membership Registration Form (document 2.1 in part II of the Procedural Manual) underneath must be completed and sent by clicking the 'Send' button at the bottom of the form.

After having completed the form you may print the form to have a hard copy for your own administration and future use.

For the other required documents to be sent in electronic form to the Instructor-trainee Secretary, please follow this link:

Application procedure for IBITA associated membership  (Procedural Manual, part I, document 1.14 - item 3)

After having 'Send' the completed form, you will see a confirmation page. You may also print this page for your own administration.

Membership Registration Form

 

First name
Family name
Title
Gender Male            Female
Date of birth
Profession
HOME address
Address (continued)
Address (continued)
Postal code
City
Country
Telephone
Fax
E-mail
WORK Name Institute
Work address
Address (continued)
Address (continued)
Postal code
City
Country
Telephone
Fax
E-mail
   

Languages spoken

First assistantship

(Date)

Supervising Instructor

Second assistantship

(Date)

Supervising Instructor

I have sent all relevant documents

to the Instructor-trainee Secretary

   (Date)

Remarks

         

Note:

New associate members will only be registered after they have sent this registration form and other required documents (please see the Procedural Manual, document 1.14 - Application procedure for IBITA associate membership) to the Instructor-trainee Secretary and paid their subscriptions.