Professional Documents
Culture Documents
TO BE RETURNED
1. Name
2. Age
Affix passport size
3. Year of Election of
photo (preferably
Corporate Membership Member Fellow
black and white) (3.5
cm x 5.0 cm)
4. Academic Qualifications
5. Professional Affiliations
6. Decorations, awards etc.
7. Position or Title of Current Employment
8. Current Employer & Address
9. Brief description of career and experience
(a) ... .
(b) .
(c) . .
12. Pledge
- I undertake to attend Council/Excomm/Standing Committee meetings if I am elected.
- I undertake to serve in at least 2 Standing Committees of the IEM if I am elected and shall not be
absent in three (3) consecutive meeting without valid reasons
- I understand that I will have to attend the meetings of the Standing Committees that I have indicated
above, and will accept disciplinary action by Council should I fail in my duty.
- I confirm that I comply with the requirements of Rules of the Pahang Branch Constitution.
- I hereby agree to abide by IEM Code of Conduct for Committee Members and will accept disciplinary
action by Council should I breach this.
- Other, if
any: ..
.
Signature of candidate Date