AGHAM Membership Form
Thank you for your intent to join AGHAM Advocates of Science and Technology for the People. This application form enables us to know more about the applicant. Please write NA if not applicable.

IMPORTANT: By submitting your application form, you, the applicant, hereby give consent to AGHAM to archive and process all information provided ONLY for activities internal to the organization. Furthermore, AGHAM is obligated to ensure that this form is in conformance with RA 10173 also known as Data Privacy Act of 2012.
Name (Last name, First Name MI) *
Clear form
Never submit passwords through Google Forms.
This form was created inside of AGHAM.