Ateneo School of Government, Pacifico Ortiz Hall,

Social Development Complex, Ateneo de Manila University,

Katipunan Avenue, Loyola Heights, Quezon City
Tel. No. 02 426 6061 / 02 426 6061 local 4645 Fax No. 02 426 5997
asog.asa.inc@gmail.com https://www.facebook.com/ASoG.ASA

SCHOOL OF GOVERNMENT
ALUMNI AND STUDENTS ASSOCIATION
Profile Form

1x1 PHOTO

Name
Last Name

First Name

Middle Name

Please check the appropriate boxes:

Regular Member

Honorary Member

Membership Details

Alumni
MA Ph.D
Year of Graduation:

Current Student
MA Ph.D

Faculty of ASoG
Others:

Batch:

Contact Details
Mobile Number/s:

Landline/Fax Number/s:

Email Address/es:
Facebook:

Skype:

Twitter:

LinkedIn:

Home Address:
Business/Work Details
Company Name:

Position:

Business Address:
Landline Number/s:

Fax Number/s:

Research Interest/s:
Proposed Activities for the Association:
1.
2.
3.
HOW TO BE A MEMBER?
1. Fill out the MEMBERSHIP
APPLICATION FORM.
2. Pay PHP 500.00 as MEMBERSHIP FEE.
3. Submit the form.

CANT GO TO ASoG?
Deposit your payment through Bank of the
Philippine Islands (BPI)
Account Name: ATENEO SCHOOL OF
GOVERNMENT ALUMNI AND STUDENTS
ASSOCIATION, INC. (ASOG ASA)
Account Number: 003083-7165-59
Email of fax your application form, deposit slip to
asog.asa.inc@gmail.com or 02 426 5997

Signature
Date: