Join Alumni Form
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View Join Alumni Form as PDF for free.
More details
- Words: 123
- Pages: 1
THE UNIVERSITY OF THE WEST INDIES ALUMNI ASSOCIATION BARBADOS CHAPTER (formerly GUILD OF GRADUATES) P.O. Box 64, Bridgetown, Barbados BB 11000 Office Hours: Saturdays 2:00 pm – 6:00 pm Telephone: (246) 417-4577 Email: [email protected]
MEMBERSHIP APPLICATION FORM NAME:
____________________________________________________________________________
ADDRESS:
____________________________________________________________________________
TELEPHONE NO.(H)
_______________________________ E-MAIL ADDRESS ________________________
MARITAL STATUS
_______________________________ NO. OF CHILDREN ________________________
OCCUPATION
____________________________________________________________________________
COMPANY NAME
________________________________ TELEPHONE NO (W) ______________________
COMPANY ADDRESS
_____________________________________________________________________________
ACADEMIC QUALIFICATIONS: UNIVERISTY OF THE WEST INDIES QUALIFICATIONS: CERTIFICATE: Year/Faculty)___________________________________________________________________ DIPLOMA (Year/Faculty)_______________________________________________________________________ BA/BSC (Year/Faculty) ________________________________________________________________________ MA/MSC (Year/Faculty) _______________________________________________________________________ PHD (Year/Faculty) ____________________________________________________________________________ OTHER QUALIFICATIONS:
______________________________________________________________________
EXTRACURRICULAR ACTIVITIES AND SKILLS YOU COULD OFFER THE ASSOCIATION: _______________________________________________________________________________________________________ MEMBERSHIP IN OTHER CLUBS AND ORGANISATIONS:
OFFICE USE ONLY DATE:
SIGNATURE OF UWIAA OFFICER:
_______________________________________________________________________________________________________ ANNUAL FEE PAID SIGNATURE OF APPLICANT: ($50.00)
________________________________________________________________
MEMBERSHIP APPLICATION FORM NAME:
____________________________________________________________________________
ADDRESS:
____________________________________________________________________________
TELEPHONE NO.(H)
_______________________________ E-MAIL ADDRESS ________________________
MARITAL STATUS
_______________________________ NO. OF CHILDREN ________________________
OCCUPATION
____________________________________________________________________________
COMPANY NAME
________________________________ TELEPHONE NO (W) ______________________
COMPANY ADDRESS
_____________________________________________________________________________
ACADEMIC QUALIFICATIONS: UNIVERISTY OF THE WEST INDIES QUALIFICATIONS: CERTIFICATE: Year/Faculty)___________________________________________________________________ DIPLOMA (Year/Faculty)_______________________________________________________________________ BA/BSC (Year/Faculty) ________________________________________________________________________ MA/MSC (Year/Faculty) _______________________________________________________________________ PHD (Year/Faculty) ____________________________________________________________________________ OTHER QUALIFICATIONS:
______________________________________________________________________
EXTRACURRICULAR ACTIVITIES AND SKILLS YOU COULD OFFER THE ASSOCIATION: _______________________________________________________________________________________________________ MEMBERSHIP IN OTHER CLUBS AND ORGANISATIONS:
OFFICE USE ONLY DATE:
SIGNATURE OF UWIAA OFFICER:
_______________________________________________________________________________________________________ ANNUAL FEE PAID SIGNATURE OF APPLICANT: ($50.00)
________________________________________________________________
Related Documents
Join Alumni Form
May 2020 20
Alumni Form
December 2019 42
Alumni Form
June 2020 17
Tphs.jpehs.jpenhs Alumni Directory Form
May 2020 11
Alumni Smktm Registration Form
May 2020 16