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1. MUNPARLAS Library Association, Inc.
c/o San Beda College Alabang, Alabang Hills Village, Muntinlupa City
MEMBER’S INFORMATION SHEET
(Please print all items)
DATE:________________
( ) Institutional (Please write the name of designated representative below)
( ) Individual ( ) New Member ( ) Renewal
Name : _________________________________________________________________
Last Name Given Name M.I.
Nickname : ______________________ Date of Birth : ________________ Sex : _____
Civil Status : _________ Degree : _________________ License No. : ______________
School/Institution /Affiliation : _____________________________________________
Designation :_______________________________________Tel. No. : _____________
Home Address : _________________________________________________________
Mobile No. : _____________________________E-mail Address : ________________
Fax : ____________Specialization / Expertise : _______________________________
___________________________
Signature over printed name
MUNPARLAS Library Association, Inc.
c/o San Beda College Alabang, Alabang Hills Village, Muntinlupa City
MEMBER’S INFORMATION SHEET
(Please print all items)
DATE:________________
( ) Institutional (Please write the name of designated representative below)
( ) Individual ( ) New Member ( ) Renewal
Name : _________________________________________________________________
Last Name Given Name
Middle Name
Nickname : _____________________ Date of Birth : ________________ Sex : _____
Civil Status : _________ Degree : _________________ License No. : ______________
School/Institution /Affiliation : _____________________________________________
Designation :_______________________________________Tel. No. : _____________
Home Address : _________________________________________________________
Mobile No. : _____________________________E-mail Address : ________________
Fax : ____________Specialization / Expertise : _______________________________
___________________________
Signature over printed name