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Application for Membership
PLEASE NOTE : This online form is for online submission ONLY - if you prefer to print, fax or email an application, please download the application form . Please do not fill out the form below and print it for submission - this will NOT be accepted.

Instructions

Please provide all of the information requested. If you are unable to provide any of the required information, please contact Member Services at mofficer@asisonline.ch or +41.41.740 4730.

Membership with ASIS is individual and is not transferable from one person to another.

Items labeled with red star are required.
Preferred Mailing Address:*

Business Home
First Name:*
Last Name:*
Birth Date:*
Month Day Year
Security-related certifications:*

CPP PCI PSP
Business Information
Title:*
Company / Authority:*
Street Address:*
City:*
ZIP:*
Country:*
Business Phone:*
Business EMail:*
Home Information
Street Address:*
City:*
ZIP:*
Country:*
Home phone:*
Person who introduced you to ASIS:
His/her phone number or employer:
Employment–Current Position
Assignment:

Full Time Part Time Contract
Present Employer:*
Job Title:*
Date employed:*
Description of security duties and responsibilities:*
Eligibility Information
Have you ever been convicted of a crime (or in military service convicted by a general court martial) or is there any criminal charge now pending against you?*

YES NO
Have you ever had a professional membership, license, registration, or certification denied, suspended, or revoked (other than a lack of minimum qualification or failure of examination)?*

YES NO
Have you ever been censured or disciplined by any professional body or organization?*

YES NO
If the answer to one or more of these questions is "Yes", please explain below. This information will not be circulated outside the ASIS International Board of Directors or its chief executive officer. Applicant must not have been convicted of any criminal offense that would reflect negatively on the security profession and ASIS International.*
Individual Member Fees

CHF 120 - full year
CHF 80 - half year (July 1 and later)

Sponsors

CHF 400 - full year ( max 3 assigned Person)
CHF 800 - full year ( 3 - 7 assigned Persons)
CHF 1.500 - full year ( 8 and above assigned Persons)

Individual Membership is not transferrable from one person to another. Dues and an application fee, included in fee, are nonrefundable. Annual dues payments cover one calendar year. All memberships expire on December 31 of each year. New members whose applications are accepted prior to July 1 pay full-year dues (CHF 120). New member applications accepted on or after July 1 pay CHF 80, which covers membership through December 31 of the current year.

Individual members who are eligible to renew within the current calendar year pay CHF 120. Individuals who wish to reinstate their membership after one calendar year of expiration are subject to the rules and procedures prescribed for an original (new) membership application.
Statement and Signature

I certify that all information herein is true and complete to the best of my knowledge and belief. I authorize verification of this information, and release all concerned from any liability in connection therewith. I hereby apply for membership in ASIS International Chapter 160 Switzerland and have read and understand the qualifications of membership, applications fees, and dues payment requirements. I agree to abide by ASIS International Chapter 160 Switzerland's bylaws, agree to adhere to its code of ethics, and to promote its objectives. Providing false or misleading information in this application form or failure to adhere to ASIS bylaws and code of ethics shall be grounds for denial of membership or expulsion from ASIS International whenever discovered.
Enter your initials here, to serve as your signature*
Please print this screen before finishing the application process, for your records.

To complete your application, you must click the "PayPal" button. At that time, you will be asked to provide your billing/credit card information and to complete the online application process.

Questions?

Contact the ASIS Member Services Center at mofficer@asisonline.ch with any questions concerning ASIS membership and application status. Applications are processed and reviewed for approval within 2-4 business days.
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European Advisory Council

Peter French, CPP
Chairman of the European Advisory Council (EAC)

Godfried Hendriks, CPP
Senior Regional Vice President

Dr. Christoph Rojahn, Regional Vice President

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Resources

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FastTrack to ASIS Chapter 160

ASIS Chapter 160
Chapter 160
Industriestrasse 6
CH-6300 Zug

Contact ASIS Switzerland
Tel +41 (0)41 740 47 30
Fax: +41 (0)41 740 47 31
www.asisonline.ch