KAPIT- BISIG MEMBERSHIP APPLICATION FORM

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Thank you for your interest in applying a membership to join Kapit-Bisig. Please complete the Membership Application Form.

INDIVIDUAL MEMBERSHIP. Individual membership shall be open to all bona fide students who are currently enrolled in the University of the East – Manila, who adheres to the principles and objectives of Kapit-Bisig. Acceptance of individual membership shall be subject to approval by the Executive Board upon the recommendation of the Membership Development Officer.

SURNAME *

FIRST NAME *

MIDDLE NAME *

NICKNAME *

COMPLETE HOME ADDRESS *

DATE OF BIRTH *

CONTACT NUMBER *

E-MAIL ADDRESS *

STUDENT NUMBER *

COURSE *

YEAR LEVEL *

SCHOLARTSHIP (if any)

EXTRA-CURRICULAR ACTIVITIES (inside and outside the campus) *

FACEBOOK ACCOUNT NAME *

T-SHIRT SIZE *

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