IES 60th Annual General Meeting Registration
Please complete the details in full and submit the completed form.
Salutation
*
Please Select
Assoc Prof.
Asst Prof.
Dr.
Er. Dr.
Er.
Mr
Ms
Prof
Name
*
First Name
Last Name
Membership Number
*
IES Membership Number (eg. 20001234)
Membership Grade
*
Please Select
Fellow Member
Honorary Fellow
Life Member
Life Member (Fellow)
Member above 31
Member below 30
Senior Member
Associate
NRIC Number
*
Last 3 Digits + 1 Char (eg. 123A)
Mobile Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Dietary Preference
*
None
Vegetarian
Halal
Food served is halal certified with vegetarian option.
Submit
Should be Empty: