Individual Membership Upgrade Form - Society of Dyers and ...

Application for regrading as a Voting Member of the SocietyPlease type or use block capitalsSURNAME ........................................................ TITLE (Dr/Mr/Mrs/Miss, etc) .........FORENAME(S) .................................................. NATIONALITY ............................HOME ADDRESS ................................................ DATE OF BIRTH .....................................................................................................................................................................................................................................................................................................................................................................................................Year of election to membership of the Society of Dyers and Colourists .................................GENERAL EDUCATION (Please provide details of attainment at secondary education level)Name of examination Year Subject LevelACADEMIC AND PROFESSIONAL QUALIFICATIONSDegree (Class)/Diploma/Certificate Subjects studied Awarding body Year awarded

PROFESSIONAL EXPERIENCEPlease provide information relating to your present and past employment including (i) name, address and natureof employer’s business, (ii) job title and responsibilities and (iii) length of service in each post (with dates).FOR OFFICE USE ONLYDate to Education Committee ………..Decision ..................................................Signature ......................................................................Date .............................................................................