Institute of Management Consultants Hong Kong Application Form for Membership/ Certification Please complete Part A if you would like to apply for Associate Member/ Affiliate Member/ Student Member. Please complete both Part A & Part B if you would like to apply for Fellow member (FIMC)/ Certified Member (CMC)/ Full Member (MIMC). Please email the completed form to or post it to G.P.O. Box 3341, General Post Office, Hong Kong. Part A Membership Category (See page 2) Fellow Member (FIMC) / Certified Member (CMC) / Full Member (MIMC) / Associate Member / Affiliate Member / Student Member Personal Details (Name should be same as HKID Card or Passport) Surname Prof/Dr/Mr/Mrs/Miss Other Names HKID Card / Passport No. Chinese Name (if applicable) Date of Home Address Tel Mobile Email Business Address Tel Email Contact Address: Home / Business Professional Experience Please submit this form with your Curriculum Vitae. Years as Consultant Company/ Organisation Title Nature of Business Type of Practice Own Independent Practice / Consulting Firm / Internal Consulting Consulting Division of Accounting or Engineering Firm / Others Summary of Consulting Specialisation / Experience Membership of Other Professional Bodies
Institute of Management Consultants Hong Kong Application Form for Membership/ Certification Please complete Part A if you would like to apply for Associate Member/ Affiliate Member/ Student Member. Please complete both Part A & Part B if you would like to apply for Fellow member (FIMC)/ Certified Member (CMC)/ Full Member (MIMC). Please email the completed form to or post it to G.P.O. Box 3341, General Post Office, Hong Kong. Part A Membership Category (See page 2) Fellow Member (FIMC) / Certified Member (CMC) / Full Member (MIMC) / Associate Member / Affiliate Member / Student Member Personal Details (Name should be same as HKID Card or Passport) Surname Prof/Dr/Mr/Mrs/Miss Other Names HKID Card / Passport No. Chinese Name (if applicable) Date of Home Address Tel Mobile Email Business Address Tel Email Contact Address: Home / Business Professional Experience Please submit this form with your Curriculum Vitae. Years as Consultant Company/ Organisation Title Nature of Business Type of Practice Own Independent Practice / Consulting Firm / Internal Consulting Consulting Division of Accounting or Engineering Firm / Others Summary of Consulting Specialisation / Experience Membership of Other Professional Bodies