The Institute of Bankers in South Africa Application for a Professional Designation- FORM B Are you a new or existing member of the Institute of Bankers: New Member: Existing Member: IOB Membership Number (if applicable): If you are applying as a new member, please also complete the Application for Membership Form (Form A) Designation applied for: LIB(SA) CAIB (SA) AIB(SA) Professional Banker (SA) Qualifications attached: (Certified copies) Yes No Name of Qualification(s): Awarded by: Date: Subjects covered: Experience in Financial Services / Banking Years PLEASE NOTE: A fee of R300 (RSA) or R350 (outside RSA) must be included when applying for a professional designation. Please attach a copy of your C.V., copy of ID and copy of qualifications to this application for professional designation. Application Fee Cost per application for professional designation – R300.00 (RSA) R300 (Outside RSA) Account name: FNB current account: Branch code: I enclose proof of payment: The Institute of Bankers in SA 5060 6050 909 251 705 Yes No Please provide proof of payment to: info@iob.co.za if it is not attached to this application For Office Use Only Date Processed: Granted: Membership Number: Date: Signature: Yes No