Application for AIEST Junior Membership

> According to By-laws Art. 4 and Art. 6

Basic Information

Gender*

Female

Male

First name*

Family name*

Date of birth*

Nationality*

Address to which AIEST-material should be sent*

Phone*

Mobile phone

Fax

E-Mail*

Business information

Employer

Title of post

Major duties

Fields of expertise

Expertise*

Practical

Scientific

Description*

Information on my studies

University*

Field of study*

Degree aimed at*

Planned termination of study*

AIEST members who support my application

Members