Application Form - Patrimony

Title(Required)

Surname(Required)

Forenames(Required)

Former or Maiden Name

Date of birth(Required)

Place of birth(Required)

Profession or business occupation(Required)

Titles, Decorations and Qualifications

Business Address(Required)

Business Email Address(Required)

Business phone number

Home address(Required)

Personal email address(Required)

Personal phone number

Should communications be sent to business or home address?(Required)

Business address

Home address

Date of admission of Father/Mother to Livery?(Required)

Has the Candidate's name been changed since Birth?

(If so the Deed Poll, Marriage certificate or other evidence of the change of name should be forwarded to the Clerk for inspection)

Is the Candidate a Freeman of the City?

(If yes please give date of Admission shown on Freedom Certificate)

The Candidate's Nationality(Required)

Was Citizenship acquired by Birth or by Naturalisation?(Required)

Please give particulars of any previous Nationality held?

Has the proposal of the Candidate for the Freedom or Livery of any other City Company been declined?

Is the Candidate a Liveryman of any other Company or Companies, and if so which?

How long has proposer known the Candidate?(Required)

How long has seconder known the Candidate?(Required)

Has Candidate been informed of the amount of the Fines and Fees payable if proposal accepted?(Required)

Brief statement of the Candidate's career including any public or other appointments or directorships held(Required)

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Name

This field is for validation purposes and should be left unchanged.

Please fill in the form to become a member through Patrimony.

Alternatively download the form below and return to the clerk via email (theclerk@bakers.co.uk)