AAQA
(ASSOCIATION FOR THE ADVANCEMENT OF QUALITY AWARENESS)

APPLICATION FOR FELLOWSHIP (F.A.A.Q.A.)

NB 1 - A COMPLETED, SIGNED AND DATED PRINT OF THIS FORM TOGETHER WITH
THE CURRENT FELLOWSHIP MEMBERSHIP FEE MUST BE SENT TO:

AAQA, PO BOX 5639, SOUTHEND-ON-SEA, ESSEX SS2 4WX, UNITED KINGDOM

TO PRINT THIS FORM PLACE CURSOR HERE AND PRESS YOUR BROWSER'S 'PRINT' BUTTON

NB 2 - FEES ARE CALCULATED IN BRITISH POUNDS (GBP) AND ARE PAYABLE BY CHEQUE
OR INTERNATIONAL MONEY ORDER DRAWN IN FAVOUR OF - AAQA LTD.


FULL NAME OF APPLICANT:
.............................................................................................................
(hereinafter referred to as "The Applicant")
FULL POSTAL ADDRESS OF THE APPLICANT:

Town/City:

County/State:

Country:

Post/Zip Code:

Date of Birth:

Primary e-mail address:

Phone (Optional):

URL/Home Page/Web site address (Optional):
http://

I confirm that I have read and fully understand the Association's Executive Code of Conduct and the Membership Rules (hereinafter referred to as "the Fellowship Criteria") and I also hereby undertake that I shall abide by the Fellowship Criteria during the currency of my Fellowship. I enclose a remittance for (GBP) £150.00 in settlement of my Fellowship Fee. I also confirm that the above information is accurate as at the date hereof and I hereby request and formally apply for admittance as a Fellow of the Association. I understand that upon receipt of this Application an acknowledgement will be submitted for my personal attention to the above Primary e-mail address and that thereafter this Application will be progressed with me on an individually structured basis.

Signature of The Applicant:


Occupation of The Applicant:
(Optional)

FOR ASSOCIATION USE ONLY - Ref: ONSF/FAAQA
( ) Compliance Review
( ) Current Fellowship Fee enclosed
( ) Secretariat Approval

Board Approval by:______________________________

Date: ___________________