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Nomination Form for Council Election
  1. Title*
    Please enter your Salutation
  2. Family Name*
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  3. First Name*
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  4. Home address*
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  5. Postal code
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  6. Telephone Number*
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  7. Email (Office/Personal):*
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  8. Date of Birth (dd/mm/yyyy)*
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  9. Gender*
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  10. NRIC/FIN (Last 3 digits with Alphabet)*
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  11. Job Title*
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  12. Membership Category*
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  13. Council Position Interested in*
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  14. Brief Profile with Photo and Manifesto*
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  15.  
  1. Application for election to the grade of Fellow shall be supported by two referees, both of the referees should be a existing Professional Member of the Institute.
  2. Name of Referee 1*
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  3. Job Title*
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  4. Address*
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  5. Postal code*
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  6. Email*
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  7.  
  1. Name of Referee 2*
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  2. Job Title*
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  3. Address*
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  4. Postal code*
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  5. Email*
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