Online Application for Affiliate BDIAP Membership

Name:*
Professional address:*
Phone:*
-
E-mail:*
Qualifications (including place and date):*
Nationality:*
Year of birth:*
Present post:*
Previous appointments:*
Do you have a Masters Degree? If so give the year it was attained*
Are you in training for a Masters Degree? If so give the expected year of completion*
Have you passed the IBMS Diploma of Expert Practice in Histological Dissection? If so give the date attained*
I agree to abide by the Constitution and Bye Laws:*
Nominator:*
Seconder:*
I understand that my data will be stored by the BDIAP and I may be contacted in the future by the BDIAP on matters relating to my membership. This data will be stored in accordance with the BDIAP's data privacy policies and will not be released to third parties. I may request that my data is deleted at any time using the data deletion request form in the data privacy policies section of the website however I understand that my data is stored as a contractural necessity of my membership of the BDIAP so that if I ask for my data to be deleted this will also mean that I am cancelling my membership.*