Application for Recognition of Qualifications for IEng or CEng

Section A – Personal details

Consent for storing submitted data *

Yes, I give permission to store and process my data

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First Name(s)

Surname

Date of Birth

IPEM Membership Number

Course reference *

For international courses please provide the name of University and course studied

Year intake *

Graduation year *

Home contact details

Home address (including postcode)

Phone number

Mobile

Work contact details

Work address (including dept and postcode)

Work phone number

Work email