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KILMARNOCK ENGINEERING AND SCIENCE SOCIETY (KESS)

MEMBERSHIP APPLICATION FORM 2018/19


Name:

Address:

Telephone number:

email address:

Please submit at any lecture along with cash or a cheque (made payable to "KESS") for £15. All students (school, college, university) enrol free. However please complete below.

Secondary school student?      (please tick) : School -

College Student?                       (please tick) : College –

University Student?                   (please tick) : University -

Data Protection

Once completed, the information on this form will be held on a database on a PC/laptop computer.  It will be used to enable the society to contact you in connection with the aims of the society.  KESS Council may use the information to gain a better understanding of the membership distribution and profile.  The personal information will not be provided to any third party other than in collated or anonymised form, for example for funding applications to professional societies or public bodies. 

Box 

I have read the data protection conditions above and consent to the use of the data on this form for the purposes described. (please tick)



Signed:                                                        Date: