Membership Application FormPERSONAL DETAILS(APPLICANT MUST BE A STAFF MEMBER OF ANY OF THE RECOGNISED MINISTRY, DEPARTMENTS OR AGENCIES WHOSE ACTIVITIES PROMOTES THE GROWTH OF FIRE ENGINEERING SCIENCE IN NIGERIA)SURNAMETITLEGENDER MALE FEMALEEmailFIRST NAMEDATE OF BIRTHPHONE NUMBERAddressAddress Line 1Address Line 2CityStatePRESENT EMPLOYMENTFor those applicableNAME OF ORGANIZATIONDATE (FROM)MAIN RESPONSIBILITIESPOSITION HELDDATE (TO)TOTAL NUMBER OF YEARSPREVIOUS EMPLOYMENTFor those applicableNAME OF ORGANIZATIONDATE (FROM)MAIN RESPONSIBILITIESPOSITION HELDDATE (TO)TOTAL NUMBER OF YEARSACADEMIC/PROFESSIONAL QUALIFICATIONSCertificate / Degree ObtainedNAME OF COLLEGE/UNIVERSITYCOURSE NAMECOURSE END DATECLASS OF GRADETOWN / STATECOURSE START DATEQUALIFICATIONPROFESSIONAL BODY MEMBERSHIP 1GRADE/CLASS OF MEMBERSHIPDATE GRANTEDNAME OF PROFESSIONAL BODYPROFESSIONAL BODY MEMBERSHIP 2CONTINUATIONGRADE/CLASS OF MEMBERSHIPDATE GRANTEDNAME OF PROFESSIONAL BODYTRAINING 1NAME OF COURSE PROVIDERCOURSE START DATECOURSE OBJECTIVESNAME OF COURSECOURSE END DATETRAINING 2NAME OF COURSE PROVIDERCOURSE START DATECOURSE OBJECTIVESNAME OF COURSECOURSE END DATEDECLARATIONI declare that the information given herein is correct to the best of my knowledge, I agree to be bound by the Rule and Regulations of the Institution of Fire Engineers Nigeria (IFEN) as they now exist, and as they may hereafter be amended.HAVE YOU EVER BEEN CONVICTED FOR CRIMINAL OFFENSE? Yes NoUPLOAD CERTIFICATESChoose File I CONFIRM THAT I HAVE READ THE IFEN RULES OF MEMBERSHIPIF YES, GIVE DETAILSI ATTACHED COPIES OF MY CERTIFICATES YESMEMBERSHIP APPLICATION FEESPrice: ₦5,000.00APPLY
