Individual Membership Application

Individual Membership Application Form

Please fill in the details below and click Submit to save your details.
Fields marked with an asterisk * are required.

1. Personal Details

Title:

First Name:

Surname:

Date of Birth:

Membership Type:

Region

Postcode:

Address:

Town:

County:

Country:

Telephone:

Home Email:

Please enter your Organisation’s postcode and click on ‘Find’. Then select from the list displayed or ‘Create New Organisation’

Postcode:

Preferred Address:

Home AddressOrganisation Address

	Local Authority (Licensing)
	Local Authority Councillors
	Local Authority Legal Services
	Local Authority Other
	Environmental Health
	Trading Standards
	Police
	Licensed Trade
	Private Legal Sector
	Private Licensing Consultancy
	Training Company
	Government Body
	Trade Body
	Barrister
	Industry Operator

	Licensing Act 2003
	Gambling Betting and Lotteries
	Taxis / Private Hire
	charities
	Enforcement
	Noise
	Health & Safety
	Structures
	Police powers
	Environmental Health Officer
	Sex Establshments

I have an interest in licensing and am supportive of the Institute’s objects in order to have Associate status


5.2. Declaration & Qualifications (please select at least one option *)

I have a degree level qualification in licensing (for example, Certificate of Higher Education in Licensing Law) plus experience in licensing for at least two years

I have a degree or other equivalent relevant professional qualification and relevant experience in licensing for at least three years

I have knowledge and experience shown to be equivalent to the above (for example, one or more approved qualifications in licensing below degree level) and relevant experience in licensing for at least four years

I have knowledge and documented experience over a long period of at least four years and wish my application to be considered by the Board

Details of Qualification Experience

If you want to request an invoice rather than paying online, please click here.

I have read and accept the Institute of Licensing's Code of Ethics, Disciplinary Procedure, and Licensing Conditions Code of Practice *

No organisation exists against this postcode.Please click 'Create New Organisation'button to create new organisation.