COUNCIL FOR THE REGULATION OF ENGINEERING IN NIGERIA

ESTABLISHED BY DECREES NOS. 55/70 AND 27/92 (AMENDMENT), NOW CAP E11/2004
ADDRESS:
Plot 22 Addis Ababa Crescent, Wuse Zone 4, P.O. Box 8461, Wuse, Abuja. Tel: 070988273 Land line)
E-mail: registration@corenng.org; www.coren.gov.ng Passport

1.0 APPLICATION FOR REGISTERED ENGINEER'S CERTIFICATE AND PROFESSIONAL

STAMP SEAL

I hereby request to be issued the Council's Certificate of Registration and Professional

Stamp Seal in respect of which I submit the following details on myself.

:' 2.0 Name: .......... ................................................................... ............................. ............................. .

(First Name) (Middle Name) (Surname)
Discipline: . ......................................................................................

Reg No: ......................................................... : ................................. (Leave Blank)

3.0 Present Mailing Address (capital Letters) ....... : ........... ...............................................................

4.0 Tel No ................................ . E-mail .. ..........................................................................

5.0 ARRANGEMENT OF NAME ON STAMP SEAL (Engineers only)

________________________________ ________________________________

Date Signature of Applicant

NB:

Please Professional Stamp Seal is issued to

Engineers only.