Step 1 - Profile Details

 

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Current Member
 

If you are a member, former member, or shop customer you will have a web account. Please use the "Forgot User ID/Password" link to retrieve your web account details

Username:
Password:
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Membership Reinstatement
 

Membership lapsed within three years of this application – Reinstatement. You need to submit only your application form and CV

Membership lapsed more than three years before this application – Readmission. You must submit a complete application including CV and sponsors as appropriate to the grade being applied.

If you are unsure as to when your membership lapsed please contact the membership department.


Application type: Member

* designates required fields

Personal Info

Prefix *
First Name *
Last Name *
Suffix
Post Nominal
Preferred First Name *
Gender *
Birthday * dd/mm/yyyy

Email Addresses

Primary Email *
Secondary Email
Previous Membership Number

Organisation Details

Organisation
Position/Title

Contact Details

Business Address

Country*
Street / PO Box Address*
 
 
City / Suburb*
State*
Post / Zip Code*

Home Address

Country*
Street / PO Box Address*
 
 
City / Suburb*
State*
Post / Zip Code*

Preferred Addresses

Mailing Address *
Billing Address *

Contact Numbers *

Country Code + Area Code + Phone Number
Business Phone    
Home Phone    
Mobile    

Web Registration Info

Web Registration Info
 

The information entered here will become your AusIMM members section username and password upon approval of your application.

Please enter a web user ID and password for your online account. (Spaces cannot be used in either)

User ID *

Password *

Retype Password *