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AFLATOUN MEMBERSHIP APPLICATION
PERSONAL INFORMATION
FIRST NAME
*
MIDDLE NAME
SURNAME
*
SUFFIX
DATE OF BIRTH
*
required
*
PLACE OF BIRTH
AGE
WEIGHT
KG.
HEIGHT
FT.
GENDER
*
CIVIL STATUS
*
CITIZENSHIP
DUAL CITIZENSHIP
EDUCATIONAL ATTAINMENT
PROVINCE
*
ZIP CODE
SCHOOL NAME
MUNICIPALITY
*
BARANGAY
*
CELLPHONE NO.
*
TELEPHONE NO.
COURSE
STREET/ZONE/DISTRICT
EMAIL ADDRESS
*
PARENT'S INFORMATION
FATHER'S FULL NAME
MOTHER'S MAIDEN NAME
*
DATE OF BIRTH
*
required
OCCUPATION
HOME ADDRESS
Same w/ Personal Address
MOTHER'S DATE OF BIRTH
*
required
MOTHER'S OCCUPATION
HOME ADDRESS
Same w/ Father's Address
SUPPORTING DOCUMENTS
UPLOAD 2X2 PICTURE
Upload File
Upload supported file (Max 15MB)
*
SCHOOL ID FRONT (Optional)
Upload File
Upload supported file (Max 15MB)
E-SIGNATURE
Clear
SHARE-CAPITAL AGREEMENT
As a member of Aflatoun, I promise..
To participate actively in the Aflatoun activities
To prepare all the school and community projects to the best of my ability, basing them on the
Aflatoun moto "Separate Fiction from Fact, Explore, Think, Investigate & Act"
To encourage friends/schoolmates to join in the savings program so they can see and reap the benefits of the Aflatoun membership offer
To adhere to the guidelines set for the savings activity
To be aware that I am saving for my future, thus, I will avoid withdrawals for petty expenses.
I hereby confirm that I have read, understood and agreed to the following Terms and Conditions of MORIMC.
I agree
SUBMIT APPLICATION
Thanks for submitting!
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