REGISTRATION FORM

SECTION A: BIO DATA

Your name

Your email

Mobile or Office Number

Your Locations
Abia StateAdamawa StateAkwa Ibom StateAnambra StateBauchi StateBayelsa StateBenue StateBorno StateCross River StateDelta StateEbonyi StateEdo StateEkiti StateEnugu StateFederal Capital TerritoryGombe StateImo StateJigawa StateKaduna StateKano StateKatsina StateKebbi StateKogi StateKwara StateLagos StateNasarawa StateNiger StateOgun StateOndo StateOsun StateOyo StatePlateau StateRivers StateSokoto StateTaraba StateYobe StateZamfara State

SECTION B: CATEGORY OF MEMBERSHIP APPLYING FOR(pls tick as appropriate)

subject to change on recommendation of the membership committee

GISEN (Graduate Member Strategic Entrepreneur)AISEN (Associate Member, Strategic Entrepreneur)MISEN (Full Member, Strategic Entrepreneur)SISEN (Senior Member, Strategic Entrepreneur)FISEN (Fellow Member, Strategic Entrepreneur)PDF ISEN (Professional Doctorate Fellow membership)

SECTION C : DECLARATION

I hereby declare that the information entered in this application are to the best of my knowledge and belief correct.i have no conviction involving illegal activities or professional misconduct locally or overseas. i agree to abide by the code of professional conduct of the institute.