Application for Subscription variances Application for Subscription Variances All changes must be applied for via the below form Name* First Last Email* Membership Number*This can be found on the members dashboardCurrent Membership Type*Please selectAffiliate British IslesAffiliate OverseasAssociate British IslesAssociate OverseasFellow British IslesFellow OverseasFellow RetiredFellow Retired Licence RelinquishedFoundation Fellow British IslesFoundation Fellow OverseasFoundation Member British IslesFoundation Member OverseasLicentiate GFM British IslesLicentiate GFM OverseasLicentiate SOM British IslesLicentiate SOM OverseasLicentiate SOM (C) British IslesLicentiate SOM (C) OverseasMember RetiredMember Retired Licence RelinquishedMember by Equivalent Qualification British IslesMember by Equivalent Qualification OverseasMember by Examination GFM British IslesMember by Examination GFM OverseasMember by Examination SOM British IslesMember by Examination SOM OverseasMember by Examination GFM & SOM British IslesMember by Examination GFM & SOM OverseasMember OverseasNurse AffiliateParamedic AffiliateStudent AffiliateWould you like to*Please selectChange membership typeApply for a reduced rateMembership Type you wish to change to*Please selectAffiliate British IslesAffiliate OverseasAssociate British IslesAssociate OverseasFellow British IslesFellow OverseasFellow RetiredFellow Retired Licence RelinquishedFoundation Fellow British IslesFoundation Fellow OverseasFoundation Member British IslesFoundation Member OverseasLicentiate GFM British IslesLicentiate GFM OverseasLicentiate SOM British IslesLicentiate SOM OverseasLicentiate SOM (c) British IslesLicentiate SOM (c) OverseasMember RetiredMember Retired Licence RelinquishedMember by Equivalent Qualification British IslesMember by Equivalent Qualification OverseasMember by Examination GFM British IslesMember by Examination GFM OverseasMember by Examination SOM British IslesMember by Examination SOM OverseasMember by Examination GFM & SOM British IslesMember by Examination GFM & SOM OverseasMember British IslesMember OverseasNurse AffiliateParamedic AffiliateStudent AffiliateReason for change*Please selectMaternity / Paternity / AdoptionLong term sicknessLow total incomeWorking wholly outside forensic medicineCareer breakOtherAdditional details*Please attach supporting documentationMax. file size: 8 MB.Declaration* “I declare that the information contained in the application for a reduced subscription to the Faculty of Forensic & Legal Medicine is true, accurate and complete to the best of my knowledge. I acknowledge that if the information I have provided should change I undertake to inform the Faculty immediately and pay, pro-rata, any subscription fee which is due.” CAPTCHA