Membership Application
Society for Indonesian Biodiversity
(Masyarakat Biodiversitas Indonesia)

Dear Chairman,

Herewith, I request to be listed as a member of the Society for Indonesian Biodiversity (“Masyarakat Biodiversitas Indonesia”). I declare to agree with the objectives and organizational efforts as set forth in the Articles of Association / Bylaws. Herewith, I include the latest curriculum vitae for consideration by my acceptance as a member of the organization.

Sincerely yours,
Declared in *
On date *
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Which states *
Your full name (with front- and back- titles)
Place of birth *
Date of birth *
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DD
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YYYY
Nationality
Gender/Sex
Clear selection
Name of Institution *
Current position
Address of institution
Street/location, City/district, Province/state, Country
Postal code
Office phone
Office faximile
Office email
Office website
Home address
Street/location, City/district, Province/state, Country
Postal code
Mobile phone *
Private email *
Scientific ID
Inform your Scopus ID, Google Scholar link, etc
Undergraduate/S1 (Bachelor) Degree *
Inform the title of degree, institution name and year of degree
Graduate/S2 (Magister)
Idem
Graduate/S3 (Ph.D)
Idem
Post-doc
Idem
Other relevance education
Idem
Mention the title of inauguration speech of professor
If any
Working experiences
Inform your most prominent working experience (about 5), including year, name of institution, and position
Articles in scientific journals (in the last three years) *
Please, use APA Style to describe your publication (from newest to oldest) and use different leaves for more pages
Articles in scientific meeting (seminary, workshop, etc) (in the last three years)
idem
Books title and others scientific papers/products (in the last five years)
idem
Others
Please, describe relevant information for supporting your application
ID Card *
Please, send your photo for ID card to unsjournals@gmail.com
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