India Members Chapter of Engineers Geoscientists Manitoba
Consent Form and Application form for membership
First Name *
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Last Name *
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Contact Phone No.
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Email Address *
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Education Completed
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Area of Practice
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Association Affiliation *
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Engineers Geoscientists Manitoba ID #: *
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Comments/Remarks
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Type of Membership Requested
* I agree to share my contact information with other members *
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* I am available to provide volunteer help in the activities of the India Chapter. *
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* I am available to provide mentoring to young members in waiting to become full member. *
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* I agree to receive emails from the India Chapter. *
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