LATT Membership Application Form
Mailing Address: P.O. Box 1275, Port-of-Spain, Trinidad and Tobago
Email: latt45@gmail.com

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Title *
Please select your preferred title. E.g. Mr., Miss, Ms., Mrs., Dr., Prof.
First Name *
Please enter your first name.
Middle Name Initial(s)
Please enter your middle name initial(s).
Last Name *
Please enter your last name.
Sex *
Please check the box next to your sex.
Required
Type of Contact Information Provided *
Please check the box next to the type of contact information that you will be providing.
Required
Official Title *
If you are providing your work contact information, please enter your official title. E.g. Archivist, cataloguer, information professional, knowledge manager, librarian, library assistant etc.
Organisation *
If you are providing your work contact information, please enter the name of the organisation that you work for.
Street Number and Address: *
Please enter street number and address.
Town / City / Zip Code (if any) *
Please enter town / City / Zip Code (if any)
Country *
Please enter country
Telephone Number (Land Line)
E.g. 000-000-0000
Mobile Number *
E.g. 000-000-0000
Email Address *
Website
Profession/Occupation *
Please check the box next to your current profession / occupation.
Required
Additional Details
E.g. Name and contact information for the academic programme and educational institution in which you are currently enrolled or your current place of employment (if not previously provided). Please specify.
Type of Degree/Qualification *
Please check the box next to your highest academic qualification.
Required
Areas of Specialisation / Other Areas of Interest
Please enter in the box below, any areas of specialization or other areas of interest that you might have. Separate each entry with a semi-colon.
Membership Type Requested *
Please select the type of membership for which you are applying.
Standing Committees
Date *
MM
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YYYY
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