IEEE IC Petition endorsement form/supporting signature form:

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Endorser Name *

Endorser Section (pull down)
*

Endorser Contact email
*

Endorser member grade (pull down)
*

Endorser member Number
*

Name of Candidate you are endorsing
*

Member Number of the candidate you are endorsing
*

By checking the following box I am acknowledging my endorsement of the candidate noted above.
*

Endorsement acknowledgement

Required

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