The Nautical Institute

Membership Application

Personal Information
Please fill in the fields below and click Next to move on to the next step of the Institute’s membership application process.

Fields marked with an asterisk* must be completed.
How did you hear about The Nautical Institute?*
Is this person a member of The Nautical Institute? Yes No

Title* Title is missing
First Name* First name is missing
Middle Name
Last Name* Last name is missing
Date of birth* [dd/mm/yyyy] Date of birth is missing Not in [dd/mm/yyyy] format
Email* Email is missing
Retype Email* ReType Email is missing Emails do not match
Job Title* Job Title is missing
Area/Branch* Area/Branch is missing
Please select a branch that is located in the country in which you live
Nationality
Do you have a UK bank account?