Accredited Membership Application

Detail of Applicant

General information about the institution, business entity or organization.

Contact information

Name of CEO / Owner / Director / Chair / President etc.

Name of Contact person

Recognition section

Education section

Declaration

By submitting this form you hereby: (a) Confirm that the details are true and correct to the best of your knowledge, information and belief. (b) Authorize ECICEL, including officers, agents, and representatives to make any inquiries deemed necessary to confirm and ascertain the suitability of your institution or organization. (c) Acknowledge that any deliberate misstatement will result in refusal of your application or cancellation of membership.