Registration - NIGERIAN INSTITUTION OF BUILDERS IN MAINTENANCE AND FACILITIES MANAGEMENT

Please Fill in the following with the relevant details

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Surname

First Name

Other Names

Grade:

Contact address

Phone no

Email address

Date of birth

Nationality

State Of Origin (if Nigeria)

Company Name

Company Address..

Job Title

Nature Of Work

Academic Qualifications - (Degree, A/level, O-level, Bsc, Others)

S/N	Name Of Institute	Certificate / degree	Year attained	add
1

Professional Qualifications

S/N	Name Of Institute/Examining Body	Qualification Obtained	Year attained	add
1

List the last THREE (3) positions you have held in your employment history, beginning with the most current

S/N	Organization	Position	From	To	Main Responsibilities	add
1

Please give the name of ONE. Your referee must be someone who has knowledge about your profession responsibilities.

Referee

Contact Address

Phone no

Email address

Membership Registration