WAIMM Portal

Personal Details

Title:

First Name:

Last Name:

Other Name(s):

Gender:

Male

Female

Birth Date:

Nationality:

City:

Phone:

Email:

Password:

Confirm Password:

Employer:

Location:

Position:

Residential Address:

Work Adress:

Qualification / Experience

Academic Qualifications
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Work Experience
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Membership of other professional bodies:

Brief description of direct responsibilities:

Membership of Specialist Groups

Mining society

Geoscience society

Metallurgy society

Petroleum society

Health, safety and environment society

Finance and legal group

Engineering group

Women in mining and petroleum network

Declaration by Proposers

* Sponsers should satisfy the following terms and conditions in nominating applicants to the Associate member grade
* The applicant must not qualify for any other category of WAIMM membership

Associate Members MUST be sponsored by Three WAIMM Members or Fellows.
Both Proposer and Sponsors must be current WAIMM Members or Fellows.
Sponsers should have adequate personal knowledge (minimum of at least 12months) of the applicant experience
At least one Sponsor should come from the applicants current workplace.
It is the duty of the Sponser to ensure that standards and professional code of ethics of WAIMM are met at all times.

CONTACT DETAILS OF PROPOSER

Title:

Full Name:

Company:

Position:

Membership Number:

Email:

Grade:

Terms of agreement:

CONTACT DETAILS OF SPONSOR 1

Title:

Full Name:

Company:

Position:

Membership Number:

Email:

Grade:

Terms of agreement:

CONTACT DETAILS OF SPONSOR 2

Title:

Full Name:

Company:

Position:

Membership Number:

Email:

Grade:

Terms of agreement:

Declaration by Applicant

I wish to apply for admission to the Member grade of WAIMM Membership
I declare that I am willing to support and positively promote the objectives and values of the WAIMM
I agree to dutifully promote the interest of WAIMM if elected into the Member grade
I agree to be bound by the Code of Ethics and Bye-laws and Regulations of WAIMM if elected
I certify that information provided throughout the application is true and correct

I agree:

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Associate Membership Application

Personal Details

Qualification / Experience

Membership of Specialist Groups

Declaration by Proposers

Declaration by Applicant

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