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SPPEEx Membsership Application
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Email *
Full Name *
Job Title (If Applicable) *
Institute / Company / Organisation (If Applicable) *
Location (City / Country) *
Contact Phone number *
Address *
Nationality / Ethnicity / Iwi *
Engineering Field of Interest / Specialisation *
Qualifications/Credentials *
Years of Experience *
Briefly state your 5-year goals.
T-Shirt Size *
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