MILT Membership Application Form

MILT Membership Application Form
Complete the application below to apply for CILTA MILT membership.
Personal Details
Title
D.O.B.*

DayMonthYear
Gender*

MaleFemalePrefer not to sayOther
Name*

First NameLast Name
Company/Name*
Job Title*
Email*
example@example.com
Alternative Email*
example@example.com
Mobile Number*
Please enter a valid phone number.
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section of Interest*
Membership Requirement
Member (MILT):
- Have completed education and training of a nature satisfactory to the Council; and
- Be engaged in and has had relevant experience for period amounting in the whole to three years in or in connection with logistics and transport management.
Please remember when submitting your Membership Application form you must include the following:

1. Full Curriculum Vitae
2. Copies of Educational Qualification Certificates
3. Application form must also include 1 Institute Referee**
Upload supporting documentation*

Cancelof

Enter Referee*

	Full Name	Membership Number	Membership Grade
Referee

** Please contact the Membership Manager at the National Office if you do not know any current CILT Australia Members to act as referees at admin@cilta.com.au or 1300 68 11 34.
Membership*
prevnext( X )
Member (MILT)
$172.73AUD Quantity

Subtotal

$0.00AUD

Tax

$0.00AUD

Total

$0.00AUD
Should be Empty: