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Application For Membership: Corporate Member
Application For Membership: Corporate Member
Photograph
NO.
5. SEX:
6. NATIONALITY:. 7. FIELD OF ENGINEERING:. 8. SPECIALISATION:.. 9. PRESENT PLACE OF EMPLOYMENT:. 10. POSITION: .. DATA OF NEXT OF KIN 11. NAME OF NEXT OF KIN: 12. ADDRESS: .. 13. E-MAIL: 14. MOBILE NO..:
NSE Corporate Membership Application Form 1/6
16. DETAILS OF UNIVERSITY/TERTIARY INSTITUTIONS ATTENDED (INCLUDE DATES) S/N UNIVERSITY/TERTIARY INSTITUTIONS QUALIFICATIONS OBTAINED DATES
(Attach certified photocopies of certificates) 17. MEMBERSHIP OF OTHER PROFESSIONAL INSTITUTIONS/SOCIETIES S/N NAMES OF INSTITUTIONS DATES
19. PROPOSERS We recommend the application of . in his desire to become a . of the Society and hereby propose him to the Council.
S/N NAME IN FULL GRADE SIGNATURE MEMBERSHIP REG. NO. DATE
1. 2.
(* Must be Financial Corporate Member of the Society).
NSE Corporate Membership Application Form 2/6
This section must be completed by the chairman of the candidates intended Branch. The application will not be processed fur ther without these See lists of Branches on page 4.
YES
NO
B. DIVISION (S) To be completed by the chairman of one of the intended divisions. See the list of Divisions on page 4
YES
NO
3/6
5/6
DECLARATION: I, .. agree with the aims and objects of the Society and will abide by its Memorandum and Articles.
I also promise that, in the event of my admission, I will be governed by the Memorandum and Articles of Association of the Society for the time being in force, and its code of ethics and that I will accept as final and binding the decisions of the executive Council on All matters dealt with by them in accordance with the provision of the said memorandum and articles.
I will advance the objects of the Society by presenting papers and discussion and attending the meetings of the Society as often as possible.