ASSOCIATION OF MARKET rESEARCH

OPERATIONS SPECIALISTS, INC.

123 West Capitol Drive, Bo. Kapitolyo, Pasig City

INDIVIDUAL MEMBER INFORMATION SHEET

PERSONAL INFORMATION
Name Nickname
Birthday Gender
Mobile Landline
Email Facebook
Twitter
(email and mobile will be used mainly for all email and sms broadcast) LinkedIn

COMPANY DETAILS:
Company Name: Position:
Company years in operation/Date Registered:
Office Address:

Services offered/Industry category:

Research Agency - Full Service Advertising agency
Research Agency - Field, DP Supplier Media
Research Agency - DP Supplier Non-Profit/ NGOs
Research User - Product Academe
Research User - Services Others: (Specify)

Previous Work (if any):

Company : Position:
Company Products/Services:

Company : Position:
Company Products/Services

OTHER PROFESSIONAL AFFILIATIONS or ORGANIZATIONS

1
2
3

INTERESTS, HOBBIES, SPORTS

EDUCATION
Undergraduate Course
School/University
Post Graduate Degree
School/University Signature over printed name

COMMITTEE PREFERENCE (Please rank from 1 to 5)

Programs & Projects (in-charge of the various projects; training programs; GMM & Other events)
Membership (member participation & engagement and also in inviting prospective members)
Secretariat (assist all committees in various projects & events; issues notices regarding meetings and facilitates member elections)
Ways and Means (oversees funds, fund-raising activities, and ensure good finance practices)
 Ethics (assist in the issues raised by the members pertaining the practices)

MEMBERSHIP DATE: ___________________

(revised 62018)