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Please provide us with the following information

Personal information
First name:*


Last name:*


Initials:


Title:*


Your preferred name:


Sex:
Male
Female

Date of birth:*


Home address - Street 1:


Home address - Street 2:


Home address - Town:


Home address - County:


Home address - Postcode:


Home address - Country:


Personal email (this is how we communicate with you):*


Repeat personal email:*


Telephone no:


Mobile tel no:


Where did you do your training:
College/Training Provider/University name:


Course name:*
Level 2 (Foundation) Apprenticeship in Landbased Engineering
Level 3 (Advanced) Apprenticeship in Landbased Engineering
Level 2 (Diploma or Certificate) in Landbased Engineering-1 year at college
Level 3 (Extended Diploma) in Landbased engineering-2 years at college
Level 3 (Diploma) in Landbased Engineering-2 years at college
Level 3 (Subsidiary Diploma) in Landbased Engineering-1 year at college
Level 3 (Subsidiary Diploma) in Landbased Engineering-1 year at college
A vocational Higher Education HND/HNC/Foundation Degree/Degree
Another course in Engineering/Science/Technology for Landbased Industries not listed here
Course completion date:


Employers Information
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Your job in brief:*


Employers postcode:*


Please send your CV to [email protected]
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Terms and Conditions

Data Protection
I understand and consent to the information provided on this form being processed by the IAgrE for its sole use (including my Local Branch), for the purpose of promoting, delivering and improving my experience of the IAgrE and its products and services or such other purposes as are described in the IAgrE Privacy Statement and Disclaimer. I give my permission for IAgrE to access my information for management, administration and registration purposes. I confirm that I wish to receive notification (by post or electronic means) of IAgrE products, events and services which may be of interest and benefit to me.

Declaration
I declare that the statements made on this form are to the best of my knowledge true. I agree to comply with the Memorandum and Articles of Association, and associated Regulations of the Institution of Agricultural Engineers (IAgrE). I understand that this is a commitment to behave ethically within my profession. I will do my best to promote the interests of the IAgrE. I confirm that I have not committed any offence of which the IAgrE would require me to give notice under its Rules of Conduct. The Rules of Conduct, Memorandum and Articles of Association, and associated Regulations are published on the website www.iagre.org

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