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ANNUAL MEMBERSHIP FEE: P500.00
PERSONAL INFORMATION:
FULL NAME: _________________________________________________________
DESIGNATION/POSITION : ____________________________________________
ADDRESS: ___________________________________________________________
MOBILE NUMBER: _____________________ TELEPHONE NO.: _____________
FAX NO: ______________________________
EMAIL ADDRESS: ____________________________________________________
DATE OF BIRTH: _______________________ CIVIL STATUS: _______________
YEARS OF SERVICE IN THE SCHOOL/UNIVERSITY REPRESENTED: _______
EDUCATIONAL BACKGROUND:
COLLEGE/UNIVERSITY: _______________________________________________
DEGREE/COURSE: ____________________________________________________
GRADUATE SCHOOL: _________________________________________________
DEGREE/COURSE: ____________________________________________________
HIGHEST EDUCATIONAL ATTAINMENT: _______________________________
DEGREE/COURSE: ____________________________________________________
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NAME OF SCHOOL/ESTABLISHMENT:__________________________________________
DEPARTMENT/COLLEGE: ____________________________________________________
ADDRESS
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OFFICIAL REPRESENTATIVE:________________________________________________
POSITION/DESIGNATION: ____________________________________________________
DESIGNATION
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Signature over printed name of Representative
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Date