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    CSP Membership Application Form

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    Anonymous PcPkRpAKD5
    This document is a membership application form for an individual applying to join the Computing Society of the Philippines (CSP). It requests basic contact information such as name, address, email and phone number. It also asks for payment details and includes a declaration that the information provided is true and complete. Membership is valid for 12 months and entitles the member to services from the CSP based in Quezon City, Philippines.

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    Download as PDF, TXT or read online from Scribd

    CSP Membership Application Form

    Uploaded by

    Anonymous PcPkRpAKD5
    238 views1 page
    This document is a membership application form for an individual applying to join the Computing Society of the Philippines (CSP). It requests basic contact information such as name, address, email and phone number. It also asks for payment details and includes a declaration that the information provided is true and complete. Membership is valid for 12 months and entitles the member to services from the CSP based in Quezon City, Philippines.

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    This document is a membership application form for an individual applying to join the Computing Society of the Philippines (CSP). It requests basic contact information such as name, address, email and phone number. It also asks for payment details and includes a declaration that the information provided is true and complete. Membership is valid for 12 months and entitles the member to services from the CSP based in Quezon City, Philippines.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    238 views1 page

    CSP Membership Application Form

    Uploaded by

    Anonymous PcPkRpAKD5
    This document is a membership application form for an individual applying to join the Computing Society of the Philippines (CSP). It requests basic contact information such as name, address, email and phone number. It also asks for payment details and includes a declaration that the information provided is true and complete. Membership is valid for 12 months and entitles the member to services from the CSP based in Quezon City, Philippines.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    CSP MEMBERSHIP APPLICATION FORM (INDIVIDUAL)

    Submit this form to [email protected] or fax to 920-2036. Official Receipt may be obtained through the Office Secretariat at the UPITDC Office.

    *supply required information


    MEMBERSHIP

    *Membership Status:  New  Renew


    *Year of membership:

    PERSONAL INFORMATION

    *Name:
    Last Name First Name Middle Name

    *Address:

    No. Street Barangay / Municipality Postal Code City / Province

    *E-mail address: Cellphone No.


    *Telephone No.

    **FOR INSTITUTIONAL MEMBERSHIP

    Position:
    Institution / Company:
    Address:
    E-mail address
    Telephone No: Fax No.

    *MODE OF PAYMENT

     Cash  Check  Bank Deposit


    Amount: Amount: Amount:
    Received by: Acct No. Acct No.
    Check No. Date Deposited:
    BDO Branch:

    I hereby declare that the information supplied in this application is true and complete. I acknowledge
    the provision that incorrect information may result in cancellation of membership.

    Signature Date

    Membership is valid for 12 months form the date of purchase.


    **Institutional membership includes free 2 individual memberships.

    Computing Society of the Philippines (CSP)


    University of the Philippines Information Technology Development Center (UPITDC)
    2/F Vidal A. Tan Hall, Quirino Ave. cor. Velasquez St.
    University of the Philippines, Diliman, Quezon City 1101 Philippines Tel: (02) 920.2080
    Fax: (02) 920.2036 website: http://www.csp.org.ph E-mail: [email protected]
    CSP-MAF JUNE 2012

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