MEMBERSHIP APPLICATION FORM
 SN.......................................      
ORDINARY
MEMBER
 

NOTE: READ INSTRUCTIONS BEFORE FILLING UP THE FORM
NOTES: 
  1. Please complete all parts using capital letters.
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  2. Employees of banks and financial institutions (Bankers) are eligible for admission to membership as ordinary members. Non-Bankers are eligible for admission as student members.
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  3. This application should be forwarded through the Manager of the Bank or Institution in which the applicant is employed. The application of the Manager or Incharge of a Branch or office should be forwarded by an Officer senior to him.
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  4. This form duly completed should be forwarded to the Registrar together with the registration fee of Shs.10,000 and annual subscription fee of Shs.10,000) for banking staff. Student members (Non Banking Staff) registration fee is Shs.10,000 and Annual Subscription of Shs. 15,000.
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  5. Bankers cheques/drafts should be made payable to the Tanzania Institute of Bankers.

To: The Registrar
      Tanzania Institute of Bankers
      PO Box 8182
      Dar es Salaam

I wish to apply for membership as an Ordinary Member of the Tanzania Institute of Bankers. If admitted, I undertake to observe the rules of the Institute as expressed in the Memorandum and Articles of Association of the Institute together with by-laws, regulations, and Code of Ethics of Bankers/the Institute.

PART 1:    PERSONAL PARTICULARS

1. Surname:.................................................................................................................

2. First Name:...............................................................................................................

3. Other Names:............................................................................................................

4. Sex:........................................................................................................................

5. Marital Status:..........................................................................................................

6. Date & Place of Birth: Date..........................................................................................
    
    District............................................... Region:...........................................................

7. Present Address:........................................................................................................
    
    Employer...................................................................................................................
    
    Department/Branch.....................................................................................................

8. Permanent Address:....................................................................................................

9. Nationality:................................................................................................................

10. Educational Qualification.............................................................................................

11. Designation:.............................................................................................................

PART 1:    PERSONAL PARTICULARS

1. Surname:.................................................................................................................

2. First Name:...............................................................................................................

3. Other Names:............................................................................................................

Signature of Applicant.....................................................................................................

Date:...........................................................................................................................

PART III (CERTIFICATE OF EMPLOYER)

I hereby certify that Mr/Mrs/Miss ............................... is our employee with.................................
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Branch/Department and the particulars given above are correct.



Signature and official stamp:................................... Designation:..............................................
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Name of Institution:..............................................................................................................
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Date:......................................................................................................................................

FOR OFFICE USE ONLY

1. Date of application.............................................S.No. ....................................................

2. Registration fee received Shs. ................................... Receipt No.......................................

3. Annual subscription fee received Shs............................Receipt No.......................................

4. Documents attached to the application consist of ...............................................................

......................................................................................................................................

5. Application processed by:...............................................................................................

........................         ........................       .......................    .....................
     Name of Officer                                Designation                             Signature                           Date