IET Student Membership Application

IET Membership Application - Student
Personal Details

Please complete all fields to avoid any delay in processing your application.
Title*
First Name*
Last Name*
Student ID / Number*
Salutation Original
Title/Salutation
Home E-mail*
Term-Time E-mail
Telephone Number
Format: 00000 000000.
Mobile Number
Format: 00000 000000.
CPS Code
IET Membership Application - Student
IET Student Application
Date of Birth*

DayMonthYear
Preferred Name for Membership Card
e.g. Mr A Jones
HOME ADDRESS
First Line of Address*
Second Line of Address
Town/City*
Postcode/Zip Code*
Country
Country*
Home Address

Home Address

Home Address Line 2

CityCounty

Postal / Zip CodeCountry
TERM TIME ADDRESS
First Line of Address
Second Line of Address
Town/City
Post Code/Zip Code
Country
Term-Time Address

Work Address

Work Address Line 2

CityCounty

Postal / Zip CodeCountry
HomeTerm-time
Gender
Self Describe Gender
IET Membership Application - Student
Data Protection:

I understand and consent to the information provided on this form being processed by the IET for its sole use and that of its associated organisations for the purpose of promoting, delivering and improving my experience of the IET and its products and services. theiet.org/help/privacy

As a member of the IET, you’ll receive information, news and details of events, products and services that will support your professional journey and hear about the IET and its activities generally.

Change your marketing preferences at any time by either contacting the IET by post, following the link on a received email or amending your preferences if you have a MyIET online account.

Course Details
Name of University*
School/Department
Full TimePart Time
Course Title*
Qualification Type*
Start Date*
End Date*
Subscription Rates

Your University is funding your IET student membership.

If any further information is required you will be contacted shortly.
1 yearDuration of my Course
Declaration:
I declare that the statements made on this form are to the best of my knowledge true. I agree to comply with the Royal Charter and Bye-laws and Rules of Conduct of the Institution of Engineering and Technology (IET) and understand that this is a commitment to behave ethically within my profession. I will do my best to promote the interests of the IET. I confirm that I have not committed any offence of which the IET would require me to give notice under its Rules of Conduct. The Rules of Conduct and the Royal Charter and Bye-laws are published on the website www.theiet.org/byelaws and the Terms and Conditions of Membership can be found www.theiet.org/membership-terms.
Declaration Agreement*
Today's Date

DayMonthYear
Should be Empty:

IET Membership Application - Student

IET Membership Application - Student

IET Membership Application - Student