Retirement Membership

Consent for storing submitted data *

Yes, I give permission to store and process my data

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Name *

Email Address *

Please ensure this is an address you will have access to after you retire. If you are leaving employment please do not provide your work email address

IPEM Membership Number *

Institute of Physics membership number (if applicable)

If you are an IOP member who will not be retaining IOP membership after retirement please leave this box blank.

If you hold any of the below professional registrations through IPEM please select ONLY those which you wish to retain after retirement.

RCT

Chartered Scientist (CSci)

Registered Scientist (RSci)

Registered Science Technician (RSciTech)

Chartered Engineer (CEng)

Incorporated Engineer (IEng)

Engineering Technician (EngTech)

Any registrations that you hold that are not selected will be lapsed. If you do not hold any of these registrations please leave this section blank

Planned retirement date *