Proposal for Membership (9ee2deb5-830d-4963-8962-a52679fa2845)

Mr. Address Member is hereby proposed by the undersigned, as a Associate Junior Member of the American Institute of Mining Engineers. Signatures of three Members or Associates. Place of birth Year of-birth Education, when, where and how acquired, with degrees, if any. A technical education is not requisite for membership. Dates Please give record of experience on following page with dates; for e. ample, in the form used by "Who's Who In America" and similar publications.