MEMBERSHIP APPLICATION FORM FOR INDIVIDUALS

In accordance to ANFREL Resolution # 3-2017

______________________________________________________________________________

PERSONAL DETAILS

NAME [TITLE]:
[Address]
[Telephone]
[Mobile phone]
[Email]
[Website]

AFFILIATION [if any]:

[Address]
[Telephone]
[Email]

INDIVIDUAL BACKGROUND

FIELD OF EXPERTISE
Category
Electoral issues [e.g., Legal, electoral dispute resolution, election observation, election
technology, election management, others please mention here
_______________________]
Democracy and human rights
Transparency & anti-corruption
Governance
Media coordination

Organization/Institution Application form v.2017

 Capacity Building

Personal Statement: Please tell us about yourself, vision, aims.

(Max 500 words):

List down a few key achievements in your career: Please attach a copy of full curriculum vitae (CV) upon
submission.

1.

2.

3.

4.

5.

What are your expectations in joining ANFREL?

(Max 500 words)

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What can you contribute to ANFREL?

(Max 500 words):

Are you willing to contribute a minimum membership fee of $20 annually? Yes No
[if yes, please refer below]

How do you intend to pay for the contribution?

Cash
Transfer Account (details will be provided upon approval of membership)

Signature of the applicant Date

Page 3 Application form for Organization v.3.2017