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CEDF-IT Membership Online Application Form

Organization, Government Agency, Company or Institute, Individual
Name of Organization/Individual:
Last Name:
MI:
Address:
Number of members, employees or students:
IT Activities :

 

Official Representative
First Name:
Last Name:
Title/Position:
Tel No:
Fax No:
E-mail:
Office Address:

Signature of Official Representative (Print Name):

 

We are interested to be a member of the following committees:
(Check as many)
  Name & Signature of Representative/s (Print Name)
1. Quality Instruction
2. Institutional Development
3. Standard & Assessment
4. IEC & Membership
5. Finance

 

We further understand as member/representative of the committees, we have the responsibility to attend to every meetings, activities, programs of the organization, thus we affix above our signature for confirmation.

 

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