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Coren Proposer Form

This document is a proposers' confirmation form for Council for the Regulation of Engineering in Nigeria (COREN). It requires two registered engineers who are up-to-date on COREN dues to certify an applicant's good character and fitness to be placed on COREN's register. The proposers must provide their name, address, COREN registration number, qualifications, position, and append their security seal and signature. The applicant also certifies that the information provided is correct and they understand the conditions for registration under the relevant act.
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0% found this document useful (0 votes)
96 views

Coren Proposer Form

This document is a proposers' confirmation form for Council for the Regulation of Engineering in Nigeria (COREN). It requires two registered engineers who are up-to-date on COREN dues to certify an applicant's good character and fitness to be placed on COREN's register. The proposers must provide their name, address, COREN registration number, qualifications, position, and append their security seal and signature. The applicant also certifies that the information provided is correct and they understand the conditions for registration under the relevant act.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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COUNCIL FOR THE REGULATION OF ENGINEERING IN NIGERIA

22 Addis Ababa Crescent Wuse Zone 4


P.O.Box 8461, Wuse, Abuja.

PROPOSERS' CONFIRMATION FORM


*TWO PROPOSERS (Must be on COREN register and up-to-date in the payment
of their dues to COREN). We hereby certify to the best of our knowledge that:

Mr/Mrs/Miss is
of good character and is fit and proper to be placed on the register of Council for the
Regulation of Engineering in Nigeria and therefore propose him/her to the Council.

(i) Name: _
Address
COREN Reg. No
Academic/Professional/Qualification Status _
Position

Append your Security Seal here and sign.


**See Sample Below**

(ii) Name:
Address
COREN Reg. No
Academic/Professional/Qualification Status _
Position

Append your Security Seal here and sign.


**See Sample Below**

**Please fill this form and scan back on the space provided on the portal.

CERTIFICATION BY APPLICANT
I
hereby declare that the information contained in my application is correct and I fully understand the
conditions as stipulated in Decree 55/70 as amended by Decree 27/92 now Act CAP E11/2004 under which
consideration is being given to my application for registration.

Date Signature of candidate

SAMPLE SECURITY SEAL

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