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Zimbabwe Institution of Engineers: Email: Zie@zie - Co.zw Wilson@zie - Co.zw
Zimbabwe Institution of Engineers: Email: Zie@zie - Co.zw Wilson@zie - Co.zw
Conquenar House
P O Box 660
Harare
Eastlea,
Page | 1
ZIMBABWE
HARARE
Tel: 746821/746652
From
TECHNICAL/ENGINEERING EDUCATION
Educational Institution
From
attended
To
To
Examinations passed
Engineering Discipline
*If elected I would also like to be a member of the following specialist division(s).
(Please indicate with an X in the appropriate box)
YES
AGRICULTURAL DIVISION
BUILDING SERVICES
COMPUTER ENGINEERING
ENERGY
ENVIRONMENT
GEOTECHNICAL
NO
INDUSRTIAL & MANUFACTURING
LARGE DAMS DIVISION
MINING & METARLLURGY
STRUCTURAL DIVISION
WATER & SANITATION
Other (Specify)
and that all above details are correct. I hereby support his/her
application for Student Membership of the Institution.
Signature:............................................. Date: ...................................
For Official Use Only - DETAILS OF PAYMENT:
Cash/Cheque/Money Order No........................... for $.....................
Breakdown: Registration Fee
$.....................
Division
$.....................