IEEE IAS Student Chapter Election

First Name *

Family Name *

Email *

Organisation *

Phone Number *

IEEE Member Number *

IEEE Active member for 2014? *
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Your Candidacy is for: *
IEEE IAS Student Chapter ExCom:
 SBC Chair SBC Vice-Chair SBC Secretary SBC Treasurer SBC Membership Development

IEEE grade description *
 Graduate Student Member Undergraduate Student Member

Biography *

Motivation for Candidacy, Explain why you are interested in the proposed role(s) with the organisation*

Upload CV (pdf file) *

Upload Photo (jpg file) *

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