		BOTSWANA INSTITUTE OF DEVELOPMENT PROFESSIONS
			P.O. Box 827 – Gaborone – Tel 7181 6811 – Shop fax 397 1181
			bidp@mega.bw - website www.bidp.bw

APPLICATION FOR INDIVIDUAL MEMBERSHIP

Full name:	.....................................................................................................................................

Date of birth	................................................................. Male female ..............................................

Nationality	.....................................................................................................................................

Name of Company	.....................................................................................................................................

Position held	.....................................................................................................................................

Physical address	.....................................................................................................................................

Postal address	.....................................................................................................................................

Telephone	Work .................................. Home ................................ Cell ......................................

	Fax ..................................... E-mail .............................................................................


Home:

Physical address	......................................................................................................................................

Postal address	......................................................................................................................................

Note: all correspondence will be sent to the business address, unless otherwise requested.
	Membership fees are payable for a full year from 1 July till 30 June, even when the member is joining during the year.

TYPE OF MEMBERSHIP APPLIED FOR: (Please tick)

1.	Ordinary member, rule 3(c) (i)	(a)	..........................
		(b)	..........................
		(c)	..........................
2.	Associate member		..........................
3.	Student member		..........................
4.	Retired member		..........................

EDUCATION

	Course	Which years

University or college attended...........................	..................................	......................................

.........................................................................	..................................	......................................

.........................................................................	..................................	......................................

Academic qualifications obtained (Degrees or diplomas)

..........................................................................................................................................................

Memberships in other professional organisations:

	......................................................................................................

	......................................................................................................

Note:

No application will be considered unless certified copies of original certificates are attached. Where certificates are in a language other than English a certified translation is required. Copies of original certificates must be certified by a Commissioner of Oaths or a member of the BIDP Council.

WORK EXPERIENCE

Employers names	Position	From	TO

Current .........................................................	.................................	.............................	.......................
Previous ......................................................	.................................	.............................	.......................

PROPOSED BY	.............................................................

Signed	............................................................. Date ...........................................

SECONDED BY	.............................................................

Signed	............................................................. Date ..........................................

Note: Both Proposer and Seconder must be Ordinary Members of the Institute

DECLARATION

I declare that I have read the Constitution and the Regulations of the Botswana Institute of Development Professions and that I fully understand them. I undertake to be bound by them and that I faithfully will observe the Rules of Conduct.

........................................................................................... ............................................................
Signed	Date

For office use only

Date received	..................................

Application fee	............................ Paid ..................Yes/No

Date presented to the Council	..................................

Decision	Approved

	Approved with Conditions

	Rejected

Conditions .................................................................................................................................................

Date applicant informed	..................................

Membership number	..................................

Further remarks ........................................................................................................................................

...................................................................................................................................................................


Affiliated to:	African Union of Architects
	Commonwealth Association of Surveyors and Land Economists


Please note that corporate or reciprocal membership applications would be on individual forms for those categories.

Form edited for web site 12my05, updated 11no06