COREN Integrated Systems

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Please correct the following errors:

Basic Information

Contact Information

Email Address

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Phone Number

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Engineering Category

Please select an engineering category.

Personal Details

Surname

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First Name

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Other Name(s)

Gender

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Marital Status

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Date of Birth

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Location Information

Nationality

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State

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LGA

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Security

Choose Password

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Confirm Password

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Association Membership Information

Association

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Number (If already a member)

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Year (If already a member)

Leave blank if you're not a member yet

Please enter a valid year (e.g., 2023).

Proposers Information

Important: You need two proposers who are registered practitioners. Please enter their registration numbers below.

Proposer 1

Practitioner Number

Please enter a practitioner number.

Enter the registration number of the practitioner

Proposer 2

Practitioner Number

Please enter a practitioner number.

Enter the registration number of the practitioner

Important: Your proposers will receive a notification and must accept your request before the change is finalized.

Application Summary

Application Complete!

Please review your information below before proceeding to payment.

Contact Information

Email Address:

Phone Number:

Engineering Category:

Personal Details

Surname:

First Name:

Other Name(s):

Gender:

Marital Status:

Date of Birth:

Location Information

Nationality:

State:

LGA:

Association Membership

Association:

Member Number:

Member Year:

Proposers Information

Proposer 1

Name:

Registration No:

Email:

Phone:

Proposer 2

Name:

Registration No:

Email:

Phone: