royal society of chemistry by lindash

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									ROYAL SOCIETY OF CHEMISTRY Mastership in Chemical Analysis (MChemA) Application for Registration and Part A
This examination is open to Associate Members (AMRSC), Members (MRSC) or Fellows (FRSC) of the Royal Society of Chemistry. The fee covers Registration and either: one attempt at the Part A Examination (an additional fee is payable for subsequent attempts) or exemption from the Part A Examination. You do not have to take the Part A examination immediately after Registration. If you wish to def er the exam, or for a subsequent attempt, please submit the last page before the closing date immediately before you intend to take the exam.

1

Personal Details __________________________________________ __________________________________________ __________________________________________

Name RSC membership number Category of membership

2

Address and Employment

Address for correspondence: Address __________________________________________ __________________________________________ __________________________________________ __________________________________________ Tel and email __________________________________________

Your job title, the name and address of your current or most recent employer: Job title __________________________________________

Employer name & address __________________________________________ __________________________________________ __________________________________________ __________________________________________ Tel and email __________________________________________

MChemA Registration & Part A application

3

Education and Training

Qualification

Subject

Institution

Date

Full/part time

4

Part A

I intend to achieve Part A by: (select as appropriate) a Part A by Examination 

I wish to apply for entry to the Part A Examination to be held in ____________(year) b Part A by exemption for approved postgraduate course 

Course title: Dates of study: Full-time 

_______________________________________________ _______________________________________________ Part-time 

Please include with your application a copy of your course certificate, signed by one of your counsellors as an authentic copy. Please also provide a brief statement indicating how you have kept your analytical chemistry knowledge up to date since completing the qualification:

c

Part A by exemption for NVQ/SVQ Level 5 in Analytical Chemistry



Date of award of the qualification: _____________________________________
MChemA Registration & Part A application

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Career and Experience Work done and expected to be done while undergoing training for the MChemA

Job title and employer

Dates employed

MChemA Registration & Part A application

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Counsellors

Internal Counsellor Name Post held Address __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Tel and email External Counsellor Name Post held Address __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Tel and email __________________________________________ __________________________________________

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Signatures

Date _______________________________ Signature of Candidate ______________________________________________________

Signature of Internal Counsellor _____________________________________________________ Signature of External Counsellor ____________________________________________________ Please return by the closing date to: Dr Jane McLauchlin Registration Officer Royal Society of Chemistry Burlington House Piccadilly London W1J 0BA and include the fee for Registration and Part A. You can pay by cheque or credit card. Cheques should be made payable to ‘Royal Society of Chemistry’.
MChemA Registration & Part A application

ROYAL SOCIETY OF CHEMISTRY Mastership in Chemical Analysis (MChemA) Application for Part A
For candidates already registered for the MChemA or for a subsequent attempt at the Part A examination.

1 Personal Details
Name Address for correspondence __________________________________________ __________________________________________ __________________________________________ __________________________________________ Tel and email __________________________________________ __________________________________________

2

Part A examination

I wish to apply for entry to the Part A Examination to be held in ____________(year)

3

Education and Training

Please provide details of any further qualifications and experience gained since registration: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________

4

Signatures

Date _______________________________ Signature of Candidate ______________________________________________________

Signature of Internal Counsellor _____________________________________________________ Signature of External Counsellor ____________________________________________________

MChemA Registration & Part A application


								
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