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Membership Application Form
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Name
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First
Last
Date of Birth
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Address
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Email
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Website (if applicable)
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Mobile Number
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Work Phone Number
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Advice to Applicants:
1. A non-refundable admission application processing fee of NZ$100 (plus GST) will be applied on all applications for admission or re-admission. Changes to membership are not presently charged for.
2. Please allow 14 working days for processing and notice to you of the result of your application.
3. New admissions are bound by the Rules and Code of Professional Ethics and Practice of the Association from the date of admission.
Declaration
In the event that I am awarded admission, I unconditionally agree to accept and be bound by the Registered Rules and Code of Professional Ethics and Practice of the Association and to uphold its objects. I further declare that all the information supplied by me is true and a fair statement.
I hereby apply for:
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Admission (or Re-admission)
Change of membership
Signature of the Applicant:
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Date of Application
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A - Design Discipline
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Architectural
Aviation
Cartographic
Civil
Consumer Durable (Product)
Chemical Processing
Clothing
Data Processing
Educational
Electrical
Electronic
Engineering
Environmental (Landscape)
Graphics (Printing)
Interior (Spacial)
Land Transport
Marine (Naval)
Mechanical (Manufacturing)
Production
Railways
Structural
Survey
Telecommunications
Other
If Discipline is Other - please specify:
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B - Formal or Academic Qualifications
Qualification:
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Institution:
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C - Continued Education Record
Course or Qualification:
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Year / Duration:
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D - Professional Development History
Membership of Trade / Professional Bodies:
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E - Work History
Status & Year Admitted / Rescinded:
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Activity / Position Held:
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Employer / Organisation:
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Period Engaged:
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F - Additional Information
Please feel free to provide any additional information that you wish DANZ to know about:
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G - How did you find out about DANZ?
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From a DANZ member
From a colleague/friend
Google search
Word of mouth
Social media
Other
Name of DANZ member who referred you:
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H - Attachments
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Curriculum Vitae
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Upload CV File
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Upload Certificates File
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Upload Licences File
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