IIASA Membership Re-join Application Form

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Re-application:

A member will be required to re-apply for membership and an application fee as well as a subscription fee will be required with all the supporting documents.

Reinstatement:

A member that wishes to retain their old expired membership will be required to pay for the number of years their membership had lapsed. All updated documents will be required.

Email *

Name *

Surname *

Identity number/ Passport number *

Membership number

Cellphone number *

Email address *

Personal Physical Address *

Select your membership re-join option *

Reapplication

Reinstatement

The fees will be paid by: *

My organisation

Job Title *

Organization Name *

Department *

Organisation VAT Number (If applicable) *

Organization Physical Address *

Organisation Telephone number *

Organisation contact person *

A copy of your responses will be emailed to the address you provided.

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