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CREN REGISTRATION FORM

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Telephone: Mobile 1

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QUALIFICATIONS WITH DATES (Academic)

MEMBERSHIP OF OTHER PROFESSIONAL BODIES/GRADE:

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WORKING EXPERIENCE : List areas of Relevant Technological and/or Developmental Experience as briefly as Possible;

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AREAS OF SPECIFIC INTEREST:

INTEREST IN JOINING CREN:

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DESIRED GRADE OF MEMBERSHIP:

I. Fellowship (F) (Only by General Body/Honorary)II. Full Membership (M) - Fully Registered Individual MemberIII. Corporate Membership (CM) - CompaniesIV. Affiliate Membership (AFM) – Partner AssociationsV. Institution Membership (IM) - Representative Bodies on Advisory Board

REFEREES:

Two reputable Members of the Council or other Professional Bodies of at least full Membership Grade are to be used as referees.

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ii) Name

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Membership Grade

DECLARATION

I here declare that the information I have provided above is, to the best of my knowledge and belief, true and accurate. I understand that any errors or false claims will render my application invalid. If admitted, I shall abide by the provisions of the constitution of the Council for Renewable Energy Nigeria.

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COUNCIL FOR RENEWABLE ENERGY, NIGERIA (C.R.E.N)

MEMBERSHIP FORM

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CREN REGISTRATION FORM

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