IEEE FELLOW GRADE NOMINATION FORM B

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IEEE-IES AdCom Member-at-Large or Officer Nominee Bio
submit by e-mail in PDF only to gerard.capolino@ieee.org
Deadline September 15, 2015
1. Nominee Bio (IEEE style)
Photo
2. IEEE and IES Former Achievements (please describe from the most to the less important)
_______________________________________________________________________________________
IEEE Membership Number:
For how many years have you been IES member?..............
IES AdCom member?......................
One page maximum (translated in PDF) in Times New Roman 12. Please don’t miss the photo.
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