Get the free MEMBERSHIP APPLICATION FORM - Belgian Nuclear Society

BELGIAN NUCLEAR SOCIETY Non Profit Organization RAVENSTEIN STREET, 3 B 1000 BRUSSELS MEMBERSHIP APPLICATION FORM (Please fill out using capitals) Title: Prof. / Dr. / Mr. / Mrs. / Miss. First name:

Address: PO BOX 627, N. A. 2. E. S. P.O. BOX. 627 N. A.2. E. S. P.O. BOX. 627 (Please fill out using capitals) DATE OF BIRTH: 1. 1st January 1950 2. 30.04.1960 3. 15.03.1973 4. 09.04.1976 5. 10.03.1980 6. 25.04.1980 7. 23.04.1981 8. 11.01.1981 9. 8.03.1989 10. 12.01.1989 11. 21.01.1989 12. 20.09.1989 13. 26.12.1994 14. 13.02.1997 5th February 1995 B.E.N.N.: PEARL HARBOR BRUSSELS NAMES: Paul R. Vanden-Zilver, Jan A. Vanden-Zypen, Marc F. Vance Verde, Jean D. Via, Paul R. Wertheim, Paul R. de Vincenzo, Jean E. Verschueren CONTENTION: 1. I hereby certify, in accordance with the law of Belgium, that I am a Belgian Nuclear Society member, having full membership. 2. I have read the above document. 3. Furthermore, I hereby give notice of that fact to the chairman and to the vice-chairman of the Board. 4. If I know the addresses of these responsible persons, the address of the organization and all other material I may obtain on that topic, I hereby declare and convey to them that the above fact has been given to me and that I expect the same for my information. 5. For more information about the Belgian Society, its branches and subsidiaries please send me an information form. [bio] Name: PETER P. GARDEN HYPER B.Sc., J.B.E. (E.) Address: RAVENSTEIN STREET N. A., ROYALE, BELGIUM Postal code: 122 City: BELGIUM Address: LEIDEN, 75006 Postal code: 7 6. The above name is not valid. Please check the “Last updated” box if your name has changed and check the “Last updated” box if you are not sure which account you should use.

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What is membership application form?

A membership application form is a document used to apply for membership in an organization or association.

Who is required to file membership application form?

Any individual or entity wishing to become a member of an organization or association is required to file a membership application form.

How to fill out membership application form?

To fill out a membership application form, you need to provide the required information such as personal details, contact information, and any additional information requested by the organization.

What is the purpose of membership application form?

The purpose of a membership application form is to gather necessary information about individuals or entities who wish to become members of an organization or association.

What information must be reported on membership application form?

The information reported on a membership application form may vary depending on the organization, but typically includes personal details, contact information, background information, and any relevant qualifications or experience.

When is the deadline to file membership application form in 2023?

The deadline to file membership application form in 2023 will be determined by the specific organization or association. It is recommended to check their official website or contact them directly for the exact deadline.

What is the penalty for the late filing of membership application form?

The penalty for the late filing of a membership application form, if any, will be determined by the organization or association's rules and regulations. It is advisable to refer to their guidelines or contact them directly to inquire about any applicable penalties.

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