(Former IOPN)

Composite Membership Application Form

Passport photo is required.

SECTION A: Personal Details

Please enter your surname.
Please enter your first name(s).
Please enter your nationality.
Please enter your date of birth.
Please enter age next birthday.
Please enter your private address.
Please enter a valid telephone number.
Please enter a valid email address.
Please indicate if you applied before.
Membership of other Professional/Technical Organisations
Organisation Membership Grade Any office held or special works done
Referees

Please give details for two referees who have knowledge of your work and are members of SPPN.

Referee 1
Referee 2

SECTION B: Business Details

SECTION C: Experience and Responsibilities (starting with present position)

Position or office held From To Nature, scope & responsibilities No. of staff controlled directly No. of staff controlled indirectly Position or office of immediate superior Name of company/organisation Total Employees

SECTION D: Academic Details

General Education
School, College, University attended From To
Professional or Technical Education
College or University (e.g., full-time/part-time) From To
Academic, Professional, Managerial or Technical Examinations Passed

Remember to attach scanned copies of certificates below.

Examination Subject(s) Date Taken
You may select multiple files at once (e.g., Degree, Diploma, HND, etc.).

SECTION E & F: Additional Information & Declaration

Authorship and General Contributions
  1. Articles written and accepted for publication in technical journals or publications.
    (Give dates and references, including the name of the journal, date of publication, and the theme of your article.)
  2. Lectures given to associations or other organizations.
    (Give brief details including theme and dates of talk and name of the organisation.)
  3. Details of part-time teaching or lecturing in schools or colleges.
    (Please state subjects and number of hours involved each year.)
  4. Any other distinctive contributions in your work or research.
  5. Any other information which you feel may be relevant.
Declaration
You must confirm that the statements are correct.
You must agree to the Rules and Regulations to proceed.
Payment and Branch Attachment

Payment Details:

Cost of Application Form ₦1,500.00
Banker Zenith Bank Plc
Account Name Society of Printing Practitioners of Nigeria
Account Number 1013902608
Please enter the payment slip number.
Digital Signature of Candidate

Please sign clearly within the box below using a mouse or touchscreen. Click **Save Signature** when done.