REGISTRATION FORM

SECTION A: BIO DATA

Your name

Your email

Mobile or Office Number

Your Locations
AbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguFCTGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara

SECTION B: CATEGORY OF MEMBERSHIP APPLYING FOR(pls tick as appropriate)

subject to change on recommendation of the membership committee

FULL MEMBER (referred to as MEMBER) (MISEN)ASSOCIATE MEMBER (AISEN)GRADUATE MEMBER (GISEN)GISEN (Graduate Member, Strategic Entrepreneur)AISEN (Associate Member, Strategic Entrepreneur)MISEN (Full Member, Strategic Entrepreneur)SISEN (Senior Member, Strategic Entrepreneur)FISEN (Fellow Member, Strategic Entrepreneur); appropriately as applicable to individual status of membership.PDF ISEN (Professional Doctorate Fellow membership)

SECTION C : DECLARATION

I hereby declare that the information entered in this application are to the best of my knowledge and belief correct.i have no conviction involving illegal activities or professional misconduct locally or overseas. i agree to abide by the code of professional conduct of the institute.

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