ISC2 Oman Membership Registration Form

Please complete the form below to apply for membership with the ISC2 Oman Chapter. All information provided will remain strictly confidential and used solely for official chapter purposes.
Kindly note that membership may incur annual fees starting 2026, which will be communicated to you later based on your selected membership category.
Name*

First NameLast Name
Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary E-mail*
Secondary Email
example@example.com
Phone Number:*

Country CodePhone Number
Nationality

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer
Years of Experience in Cybersecurity*
Field of Specialization
Membership Category*

ISC2 MembershipProfessional MembershipAcademic MembershipAssociate Membership
Are you a member of ISC2?*

YesNo
If so, what is your ISC2 ID number?
List other professional associations in which you are a member:
List the professional certifications that you hold:
Is there anything you specialize in or are particularly passionate about that you want to bring to the chapter?
Indicate your areas of interest in which you would like to participate or contribute to ISC2 Chapters by checking the items below.

Chapter Leadership/ManagementChapter Education ProgramsChapter EventsProfessional SpeakingSSO Volunteer/ Community OutreachOther
Provide your feedback on the opportunities you hope to gain by joining an Official ISC2 Chapter:
Supporting Document (ISC2 Certificate, Student ID, Professional Experience)*

Browse Files

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I hereby declare that the information provided in this application is accurate. I agree to abide by the ISC2 Code of Ethics and the Bylaws of the ISC2 Oman Chapter.
YesNo
Please verify that you are human*
Should be Empty: