Risk NZ :: Apply for Individual Membership

All membership applications must be completed on the form below.

*Please read the constitution before filling in the application form.

Individual Membership Application Form

Title

First Name *

Last Name *

Do you want your name to be published in our membership lists? *

Yes

No

Job Title *

Employer *

Email Address *

Confirm Email Address *

Phone Number *

Mobile Number

Postal Address *

Employment Category *

Qualifications

Membership Type *

Geographic Location *

Areas of interest in Risk Management

Membership Benefits Required

I have read the constitution and agree to abide by it *

Yes

No

IRM Membership Number