Академический Документы
Профессиональный Документы
Культура Документы
A. PERSONAL INFORMATION
COMPLETE NAME
(First Name, Middle Name, Last Name)
CHAPTER AFFILIATION
CONTACT Nos.
(Landline & Mobile Nos.)
10
11
12
13
14
15
TOTAL POINTS
(to be filled-up by Chapter President or Chapter Secretary) APPROVED POINTS
SUBMITTED BY CHAPTER ENDORSEMENT
I hereby certify that all of the information that I I hereby attest to the veracity of the information I hereby endorse the application of the member for an
have provided in this application is true and submitted above. IAPOA Certificate of Good Standing.
accurate.
DOCUMENT/S
# UAP ACTIVITY/IES POINTS
TO BE