Application formformembership There are two categories ofmembership of the IoD – Full and Associate. Both can avail of allmembership benefits and attend all IoD events.
FullMember:A personmust be a director of a corporation for a minimumof three years or a partner, senior executive or officer of an entity,with three years’ experience as amember of the body that is responsible for the strategic business direction of that entity. The companymust be solvent and in existence for at least three years and have aminimumannual turnover or budget of€300,000.
AssociateMember:A personmust be a director, partner, senior executive or officer of an entity or a sole trader for aminimumperiod of one year orwho reports to amember of the body that is responsi- ble for the strategic business direction of that entity and is interested in the promotion and advancement of good corporate governance.
Please indicate the category you are applying for: Full Associate
1. PERSONAL DETAILS OF THE APPLICANT (Please attach your business card if possible)
Name __________________________________________________ Job Title ________________________________________________ BusinessName____________________________________________ Business Address ________________________________________ ________________________________________________________
Business Phone __________________________________________ Number of years served as aDirector __________________________ _________________________________________________________ Job Title ________________________________________________
Fax ____________________________________________________ Email __________________________________________________ Mobile __________________________________________________ Qualifications______________________________________________ Home Address ____________________________________________ ________________________________________________________
Company Type (ie plc, Ltd) __________________________________ Company Sector __________________________________________
I hereby apply formembership of the Institute of Directors in Ireland and agree to be bound by its Memorandumand Articles of Association. I also confirmthat:
• I do not have any unspent criminal convictions (other than for traffic offences). • I have not been restricted from acting as a company director, under s150 of the Companies Act 1990, or disqualified from acting as a company director under s160 Companies Act 1990, as amended or equivalent legislation in other jurisdictions.
• I have read and understood the code of conduct expected as amember of the Institute of Directors in Ireland. The code can be viewed at
www.iodireland.ie/about-iod or emailed to you on request.
2. COST OF IOD IRELAND MEMBERSHIP: Registration fee (payable in the first year only) €200
Annual subscription €295 Total Cost ofNewMembership €495
3. PAYMENT DETAILS Payment is accepted by chequemade out to: The Institute ofDirectors in Ireland, or by credit/debit card (see below)
Cardholder’sName: ______________________________________ Amount:€______________ I ampaying by
Card no: Expiry date:/
Visa MasterCard Laser (We cannot accept American Express)
Signature: ____________________________________________________________ All information provided is treated with the strictest confidence. If you have any queries, please phone us on 01 4110010.
Please return your completed form by fax to 01 4110090 or post to: Institute of Directors in Ireland, Europa House, Harcourt Street, Dublin 2
www.iodireland.ie
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72