Associate Member - Application From

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Illuminating Engineering Society of Australia and New Zealand Limited ABN 99 100 686 039 | Secretariat: PO Box 576 Crows Nest NSW 1585 Australia

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1. I hereby apply for the Membership Grade Associate ("AssocIES"), Registration type, Student, of the Illuminating Engineering Society of Australia and New Zealand Limited ('The Society')
2. I agree to observe the Society's Constituition, By Laws and Code of Ethics.
3. I confirm I am not less than (16) years of age.
4. I confirm I am aware that the Company is limited by guarantee
5. I agree to have my details saved

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