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and sent to R. W. Pope, Sec'y, 16 Dey St. , N. ,Y.
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AMERICAN INSTITUTE ·OF ELECTRICAL ENGINEERS.
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To the Chaz'rman 0./ the Board 0./ Examz"ners.'


ApPLICATION FOR ADMISSION.

Extracts from the Rules, as Amended December 8th, 1885 .


The Council, at its regular meeting
MEMBERSHIP.

. recommended that the application


·1 "

«' for transfer to fuJI membership be referred to the Board oJ Examiners


for approval.
'1­

ave been connected \Vith the


experimental investigation,
f

1 Secretary.
electrical science, and such
any member of the Council.
three membets ,o.r associates, NEW YORK, __ .. ____ ... __ ___________ . _________ .....____________ __
elect to Associate Member-

entitled t~ the privilf'ges of \ ';


bership may be made by the !

ro'¢l of a Board of Examiners, which The application specified above is approved by the Board of
mde rules to test the qualifications of -.
the Council. Any Person rejected by ( Examiners,
st to the Council, and /i·nally 'to any
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and at present associated with . . . . . . . . . . . . . . .. ...... . .. .... . . ..
.......... ,,,.. ,,,,,,
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REMARKS:
-.,­

'etiy
tute of Electrical Engineers, ,as an 'assoc,iate member, with the 1
privilege of being subseque:ntly transferred to full membership, '
should my record prove satisfactory to the Board of Examin~rs.

--.------------~(d"L!---~~~,:-------.
Date and Address __ . m __ m _ m _ _ _ _ _ _ _ m __ _ _ _ _ _ _ .~-=.. !...~- . '--v----->
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[Should the candidate desire to be transferred from Associate to full Membership, ""0 ~ - 0 (tI

he should give upon the blank page on the other side of this sheet, a concise record 1!..Cii· ..... o",g
of his elect deal career. also age. birthplace, etc., referring ii possible to present gO g ;; 8. £­
members or associate members of the Institute.] ~gs:J~
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Form 143-300-J-16
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DIPLOMAS

Diploma received.? rJ y. 4l~1'


SenttoJt MAY
. [; ~~ -- I }I'i? ...... .........for signature......

Rclu,.,.d .. .......... .

Mailed to..........
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Form W8-2000-8-39
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Latest addr~s,s: · ;: Ert>t-:el N~wYorker

REASON FOR QLJESTIONINGADDR:ES$: .


JOURNALS returned by Postoffice........ ........ ~ .: ... ,....... ... ,.......... ....... ,................................,.................. .. .,.......... ,: ...... .
OTHER Mailreturnedhy:Postoffi.<;e,(Descriptio!l}. ...~., ; .... .....,..........·.. .. ,......... .....;~: .. ............:............. ... " ....... :.........:...
Postoflice'notice
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Information .. given......... ..·.... .:.... .... ......:................. :.................... . :.~ . !... . . .. ... :: ..... : ........... '. .. ... : ...... .... :.: ......: ... : . .........:............ .... ..

FOLDER EXAMINED .... .. ........................ ,...... ..... ......... . -.S~NQlkl~.:.li'lv,f0VED ...... .............. .. ::..... :.. :...........: ...... .

.. REMARKS ... ........... ......... ........ ................. .. .......... ...... .......':: ..:...... .~ .... "....~ . ,.,.,...... " .... :.... :....;.... :.... :.................... :....;........,-....... ... ;.... .

RECORD OF;·nBv.iEL'0PMEN1'S
"" '. . . . ..... .. -:-:--.'
" . ~.~" ,- ...., ~ '."

Date Sent " .. ~


To
FORM
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Back numbers of Journals and Transactions sent ..................... L:-:... . .::-...~.7. .......................... ................:.:..
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(To be filled .in when Jurther efforts tOcibtainaddress


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.(date) ............. .. ................................... ... ........................... .... .. Approved forfiifpg ·(ciate) ..:.....,.. ..~...... :~· .......·.. ...... ...... ..
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Restored to mailing list (date) ....................... :.... ........... .... ...

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<+ ADDRESS RECORD
(To be kept in "su'Pense" me and followed up ""';"'ly until address is
ther efforts discontinued. Then filed in member's folder~)

NAME AND LATEST MAILING ADDRESS


o~,du;i: !uYX;;Ur"
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N- I:o:::a:::a.Sci .TS~;;r;;-::r-,"-;;'f2:~'8'~~2;>'il~~::z:£;p~~ ~
N'E-lf YORK N. Y j{#>:J:i6 ;~t'~~
REAS~~:::A~~~:~:~~:~~~~~e~~~'(lJ__:_'&"""'_"T.mrU7j'uu... .-m.h;m~ '"
OT.HER Mail returned by P9stoffice (DeScriPtiOn)~/L<t:~---~;J21!{J.---£ff!4d.- ..-.__ t~:/'f:-::ft:______:f... ?~",j.A I' "

PI°fst~tIJC~ noti~e date~ --/~/~~i?:.;1:--------------.--.-----.----J,L------.-------.---------------.-------------------.------- ------.-----.---.-----.-------------------- : J:>' '_!;~/


n ormatlOn glven--Cl--l g --T93"O-<-----------------------·-----------·----------------·------·----··---···--·-·--···-···0-C-f'-2TT92-!f-'--"--' ~
FOLDER EXAMlNE& .___ .._..........._............._......... STENCIL REMOVED.........___..................._.._...................... .

'/1'0 REMARKS.?«a_,.]~#~~~~:~m~~
Date Sent To Reply Received
E,ORM · Date
. /-:77'
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• .t._..... ______-.: ______ ____ ~_~ • ____ _

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!..at as t
addres s:

NAME LISTED UNDER ··ADDRESSE-s""'-WAI~r[ED .. IN......................._............._......._.._...............JOURNALS.

(To be filled in when address is obtained.) Addr~~~'S· ·restore~L ....~~ ____........._.:........_.......,.._..............._...


Back numbers of Journals and Transactions sent

(To be ' filled in . when further


address are discontinued.)
(date)..................._......._......._....._...._..._........-....-................... Approved for filing (date).......r .......:-.;~:::"

Restored to mailing list (date)...............___.............._.......


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DROPPED DECEASED ~/~/¥ J


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Name ............... ~iL~.:~.~ . . _


__ 1~0=_ _ _ _ _ _ _ _ _._ _ _. . . . . _ ._ _ . _ ._ _ _ _ _ _ _ _ Folder No. .____ i!:.. .f.~.L. ____:____ .____.__ .___..____.__ .._.

S Fellow

o Member
06 Yr. Associate

o Associate
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Index Card __ .______ .. ?/!.. _ . . _ ._______.__._________ . _._ _ ._ _ ....__ _. _ _ . _ . ____________.. _ _ . .


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Catalogue__ ....___ ..___ ..__ .......______ ..___ ......_________________________________________ ..__ .....______________ _

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Membership Card.__ ..________________________________________________________ __ ___........__________ ..__ __

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Index Book .. ____ ..____ ....__ ..____ .:________ ..__ ..____ .____ ...______________________________________________ ..__

.JAN ~; - 4:"; C € .
StenciL__________ ...._______ ..__ ..__ ..__ .. _______ ..__ .. ________ ______...___ ..______ ...._..__________________________ __.

~
Folder __ __.__ .____ ... __ .____________ .____________________________ ... ___________ ___..______________ ..________________ ..__

Committee....__.__ :!.,:~:·~;__ .~...~. __ :::~~..__ :~.:.~:~ ~._. __ ..______.______..__


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Da te____.L... _______.__ .__________________ __ ___ ....

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