TÜYAK VAKFI ÜYELİK BAŞVURU FORMU ADI SOYADI GÖREVİ VEYA ÜNVANI FİRMA ADI ADRESİ . ······················································•·"················· . ........................................................................... . ···················· .. ······••••••••••••••••••••••••••••••••••••••••••••••• . ·············································•·"·························· ·········································•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• TEL/ FAKS NO . ··················•••••••••••••••••••••••••••••••••••••••••••• BU SEKTÖRDEKİ DENEYİMİ (YIL) . ............................................................... HANGİ KATEGORİDE ÜYE OLMAK İSTEDİĞİ: BU SEKTÖRDE ÇALIŞTIĞINA DAİR REFERANSLAR!: , . 1 ADI SOYADI FiRMA BAŞVURANIN ÇALIŞTIĞI FİRMA ÖZELLİKLERİ: FİRMA ( ) FİRMA ORTAĞI ŞAHIS ( ) ÜCRETLİ ÇALIŞAN ŞAHIS ( ) TELJEFON NO PROJECi / DANIŞMAN ÜRETiCi ( ) ( ) ( ) MÜMESSİL / ITHALATÇI / DAĞITICI: ( ) ( ) UYGULAMA FIRMASI: DiĞER: Lütfen açıklayınız. ·······························································································•·················································· BAŞVURAN FİRMANIN PERSONEL BİLGİLERİ: NiTl:L'İI< SAYI MÜHENDİS: TEKNİSYEN: DİĞER: BAŞVU_RANIN YANGIN GÜVENLİĞİNDE UZMAN OLDUĞU KONULAR: •••••••••••••••••••••••••••••••••••••••••••••••••••■••••••••••••••1••■•••••••••••••••••••••••••••••••••••••••••••••••••••••••• .............................................................................................................................. 33 ' 1 1 --·
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