To be completed by professionally registered BAPEN contributors
I confirm that my name is not currently removed, suspended, or withdrawn from my regulatory body Register in any country.
I understand that it is my responsibility to inform BAPEN, if during my tenure of office, my name is removed, other than by voluntary erasure (such as because of retirement) from the regulatory body register in any country.
I note that BAPEN reserves the right to withdraw membership of any committee or honorary appointment.
