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  • Membership Form

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    Eduard Aung Colod Kyu Jr.
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    This document is a membership form for the Prime Movers Society that collects personal information such as name, ID picture, student ID number, course of study, contact details, interests, hobbies, skills, and other affiliations from applicants. The form requests a signature from the applicant at the bottom.

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    This document is a membership form for the Prime Movers Society that collects personal information such as name, ID picture, student ID number, course of study, contact details, interests, hobbies, skills, and other affiliations from applicants. The form requests a signature from the applicant at the bottom.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Membership Form

    Uploaded by

    Eduard Aung Colod Kyu Jr.
    This document is a membership form for the Prime Movers Society that collects personal information such as name, ID picture, student ID number, course of study, contact details, interests, hobbies, skills, and other affiliations from applicants. The form requests a signature from the applicant at the bottom.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PRIME MOVERS SOCIETY

    MEMBERSHIP FORM

    FIRST NAME: _____________________________

    ATTACH 2X2 ID
    PICTURE WITH
    A WHITE
    BACKGROUND

    LAST NAME: _____________________________


    MIDDLE NAME: _____________________________
    NICKNAME: _____________________________
    SCREEN NAME/ALIAS: _____________________________
    SLU I.D. NUMBER: _______________
    COURSE: _____________________________
    YEAR LEVEL: _____________________________
    SEX: __________
    RELIGION: _____________________________
    CIVIL STATUS: _______________
    BIRTHDAY: _____________________________
    BAGUIO ADDRESS:

    _______________________________________________________________________________________
    _______________________________________________________________________________________
    _______________________________________________________________________________________
    CONTACT NUMBER(S): __________________________________________________________
    EMAIL ADDRESS: __________________________________________________________
    INTERESTS:

    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    HOBBIES:

    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    SKILLS:

    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    REGISTRATION NUMBER: _______________
    OTHER AFFILIATION(S) AND POSITION(S):

    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________

    _______________________________________________
    MEMBERS PRINTED NAME AND SIGNATURE

    MEMBERSHIP FORM OF THE PRIME MOVERS SOCIETY

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