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THE GHANA INSTITUTE OF CONSTRUCTION (GIOC)

MEMBERSHIP APPLICATION FORM


1. Name of Applicant..
(Surname)

(First Name/s)

2. Date of Birth
3. 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 ..

10. EDUCATION AND TRAINING (start with the last school attended ending with secondary education)
Name and address of
School/University

Year 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

To

Reasons for
leaving firm

Remarks

12. DECLARATION BY APPLICANT


I 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 accurate
b. If accepted to any class of membership, I will abide by the institutes rules of professional
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 with
the 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.