Application for Individual Membership You are interested in a individual membership with the association Geotechnik Schweiz. We kindly ask you to fill in this form and to send it to us. The annual subscription fee for an individual membership is CHF 120.-, for young members unter the age of 30 CHF 80.-. Personal Data Name First name Year of birth Title/profession Address Zip/Place of residence Private phone number Mobile phone number Private e-mail University degree or diploma of university of applied sciences and arts Type of diploma Year of graduation Occupational status Are you member of the SIA? yesno Have you already worked in the field of geotechnics? yesno If so, where? Employer Data Company Address Zip/City Business phone number Business e-mail Mail Address Where would you like to receive our mail? Private addressBusiness address Membership of the International Societies Additional to the membership with Geotechnik Schweiz would you like to join the following societies: International Society for Soil Mechanics and Geotechnical Engineering (ISSMGE) (Annual subscription fee Fr. 25.-) yesno International Society for Rock Mechanics and Rock Engineering (ISRM) (Annual subscription fee Fr. 11.-) yesno Reference (optional) The following member of Geotechnik Schweiz recommends you for the admission to the association: Please attach your diploma.