EmailMeForm
IDMSS ONLINE APPLICATION FORM
Payment of non-refundable NGN5,000 to be made into the Institute's Account Number [ Account Name: Institute of Disaster Management & Safety Sciences, Account Number: 4719512017, Bank Name: First City Monument Bank (FCMB)]
(Payment must be made to enable processing of online application form)
Contact Information
Name
*
First
Last
Email
*
Mobile Phone
*
Date of Birth
*
MM
/
DD
/
YYYY
Upload Your Passport
*
Word or PDF Documents Only
Upload Your CV
*
Word or PDF Documents Only
CATEGORY OF MEMBERSHIP APPLYING FOR(Please tick as appropriate)
subject to change on the Recommendation of the Membership Commitee
*
Fellow
Senoir
Full
Associate
Graduate
EDUCATIONAL INSTITUTIONS ATTENDED WITH DATES & QUALIFICATIONS OBTAINED
INSTITUTIONS ATTENDED
*
QUALIFICATIONS WITH DATES
*
SUMMARY OF CAREER / WORKING EXPERIENCE Please provide information on your career/working experience for the past three years.
Employers/ Organization
Job Title
Employers/ Organization
Job Title
Declaration
I agree to adhere to IDMSS Code of Professional Conduct, to uphold my Mandatory Continuing Professional Development and to preserve the Institute values and principles.
*
I AGREE
Powered by
EMF
Form Builder
Report Abuse