2012 IEEE Student Membership Application

The department of Electrical Engineering finances the IEEE Student Membership for its graduates and PhDs. On top of that PhDs may also choose a membership for one society free of charge. Application for any other type of membership or for more than one society will be charged to the applicant. We will only fill in the minimal amount of information needed for the application. If you wish to share more information, you can do so when you receive your personal internet account.

1 Name & Contact Information Male Female Date of birth (Day/Month/Year) Title Initials First Name Last Name Preferred language English / Dutch Work Address P.O. Box Home Address Street Address Postal Code Send all IEEE mail to Email address Mobile phone

/ /

Room number

Phone

City

Phone Work Address

Home Adress

2 Education Information Electrical Engineering Department Start Date (Month/Year) Expected Graduation Date (Month/Year) Role Degree Group
Graduate PhD Student Employee BSc
M. Tech.

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EVT-EPS EVT-EPE ICS-ES ICS-MsM MBS-SPS MBS-CS

DSc

TTE-ECO TTE-ECR TTE-EM TTE-OED

3 Add IEEE Society Membership (Optional) IEEE Aerospace and Electronic Systems Society IEEE Antennas and Propagation Society IEEE Broadcast Technology Society IEEE Circuits and Systems Society IEEE Communications Society IEEE Components, Packaging, & Manu. Tech. Society IEEE Computational Intelligence Society IEEE Computer Society IEEE Consumer Electronics Society IEEE Control Systems Society IEEE Dielectrics and Electrical Insulation Society IEEE Education Society IEEE Electromagnetic Compatibility Society IEEE Electron Devices Society IEEE Engineering in Medicine and Biology Society IEEE Engineering Management Society IEEE Geosciences and Remote Sensing Society IEEE Industrial Electronics Society IEEE Industry Applications Society IEEE Information Theory Society IEEE Instrumentation and Measurement Society IEEE Intelligent Transportation Systems Society IEEE Lasers and Electro-Optics Society IEEE Magnetics Society IEEE Microwave Theory and Techniques Society IEEE Nuclear and Plasma Sciences Society IEEE Oceanic Engineering Society IEEE Power Electronics Society IEEE Power Engineering Society IEEE Product Safety Engineering Society IEEE Professional Communication Society IEEE Reliability Society IEEE Robotics and Automation Society IEEE Signal Processing Society IEEE Social Implications of Technology Society IEEE Solid-State Circuits Society IEEE Standards Association IEEE Systems, Man & Cybernetics Society IEEE Ultrasonics, Ferroelectrics & Frequency Control IEEE Vehicular Technology Society IEEE Woman in Engineering