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ACKNOWLEDGMENT FORM FOR INTENDING MEMBERS A. PROPOSER S ACKNOWLEDGEMENT We recommend the application of in his/her desire to become a of the Nigerian Society of Engineers and hereby propose him/her to the Council. S/N NAME IN FULL GRADE Signature Membership Reg. No DATE Must be Financial Corporate Member of the Society B. BRANCH S ACKNOWLEDGEMENT The section must be completed by the Chairman of the candidate s intended Branch. The application will not be processed further without this. See lists of Branches at www. nse. org. ng/about-nse/branches i. BRANCH ii. NAME OF BRANCH CHAIRMAN HOW LONG HAVE YOU KNOWN THE CANDIDATE iv* IS THE CANDIDATE ACTIVE AT THE BRANCH YES v* BRANCH CHAIRMAN SIGNATURE NO C. DIVISION S ACKNOWLEDGEMENT To be completed by the Chairman of the intended Divisions. See the list of Divisions at www. nse. org. ng/about-nse/divisions DIVISION NAME OF DIVISION CHAIRMAN DIVISION CHAIRMAN SIGNATURE NOTE Please scan this form when completed and upload to complete your registration process. BRANCH S ACKNOWLEDGEMENT The section must be completed by the Chairman of the candidate s intended Branch. The application will not be processed further without this. See lists of Branches at www. nse. org. The application will not be processed further without this. See lists of Branches at www. nse. org. ng/about-nse/branches i. BRANCH ii. NAME OF BRANCH CHAIRMAN HOW LONG HAVE YOU KNOWN THE CANDIDATE iv* IS THE CANDIDATE ACTIVE AT THE BRANCH YES v* BRANCH CHAIRMAN SIGNATURE NO C. ng/about-nse/branches i. BRANCH ii. NAME OF BRANCH CHAIRMAN HOW LONG HAVE YOU KNOWN THE CANDIDATE iv* IS THE CANDIDATE ACTIVE AT THE BRANCH YES v* BRANCH CHAIRMAN SIGNATURE NO C. DIVISION S ACKNOWLEDGEMENT To be completed by the Chairman of the intended Divisions. See the list of Divisions at www. DIVISION S ACKNOWLEDGEMENT To be completed by the Chairman of the intended Divisions. See the list of Divisions at www. nse. org. ng/about-nse/divisions DIVISION NAME OF DIVISION CHAIRMAN DIVISION CHAIRMAN SIGNATURE NOTE Please scan this form when completed and upload to complete your registration process. BRANCH S ACKNOWLEDGEMENT The section must be completed by the Chairman of the candidate s intended Branch. The application will not be processed further without this. See lists of Branches at www. nse. org. ng/about-nse/branches i. BRANCH ii. NAME OF BRANCH CHAIRMAN HOW LONG HAVE YOU KNOWN THE CANDIDATE iv* IS THE CANDIDATE ACTIVE AT THE BRANCH YES v* BRANCH CHAIRMAN SIGNATURE NO C. The application will not be processed further without this. See lists of Branches at www. nse. org. ng/about-nse/branches i. BRANCH ii. NAME OF BRANCH CHAIRMAN HOW LONG HAVE YOU KNOWN THE CANDIDATE iv* IS THE CANDIDATE ACTIVE AT THE BRANCH YES v* BRANCH CHAIRMAN SIGNATURE NO C. DIVISION S ACKNOWLEDGEMENT To be completed by the Chairman of the intended Divisions. See the list of Divisions at www. ng/about-nse/branches i. BRANCH ii. NAME OF BRANCH CHAIRMAN HOW LONG HAVE YOU KNOWN THE CANDIDATE iv* IS THE CANDIDATE ACTIVE AT THE BRANCH YES v* BRANCH CHAIRMAN SIGNATURE NO C. DIVISION S ACKNOWLEDGEMENT To be completed by the Chairman of the intended Divisions. See the list of Divisions at www. nse. org. ng/about-nse/divisions DIVISION NAME OF DIVISION CHAIRMAN DIVISION CHAIRMAN SIGNATURE NOTE Please scan this form when completed and upload to complete your registration process.

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