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ASTR Individual Membership Form (ASTR)

This membership form collects personal and educational information from applicants to join the Asian Society of Teachers for Research Inc. It requests the applicant's name, contact details, country of residence, organization or school, as well as their educational background including degrees completed or in progress. It also provides bank account details for payment of the USD 20 or PHP 500 membership fee by non-Filipino or Filipino citizens respectively.

Uploaded by

Rex Lim
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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64 views

ASTR Individual Membership Form (ASTR)

This membership form collects personal and educational information from applicants to join the Asian Society of Teachers for Research Inc. It requests the applicant's name, contact details, country of residence, organization or school, as well as their educational background including degrees completed or in progress. It also provides bank account details for payment of the USD 20 or PHP 500 membership fee by non-Filipino or Filipino citizens respectively.

Uploaded by

Rex Lim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MEMBERSHI

P
MEMBERSHIP FORM

Date Filled: May 05, 2017


Amount: USD 20.00 (Non-Filipino Citizens)
PhP 500.00 (Filipino Citizens)

PERSONAL INFORMATION

Name: Rex A. Lim Email: [email protected]


Contact No: 09177270299 Country of Residence: Philippines
Address: #53 V. Mapa Street, Tionko Avenue, Davao City, Philippines, 8000
Organization/School/University: Davao City National High School, Senior High School Program
Vice President for Research/Research Director:
____________________________________________________
Contact No: ___________________________________________________
Email Address: ___________________________________________________

EDUCATIONAL BACKGROUND
Bachelors Degree: Bachelor of Secondary Education
Major: English
Masters Degree: Master of Education in Language Teaching
Major: English
Doctoral Degree: Doctor of Philosophy in Education major in Applied Linguistics (on-
going)

Please fill-out the form, scan, and send to [email protected]. You may also
personally return the filled-out form to any personnel of ASTR.

ASTR BANK ACCOUNT


Name of Bank: Bank of the Philippine Islands
Address: Georgetown Cybermall, Cagayan de Oro City, Philippines
Account Name: Asian Society of Teachers for Research Inc
Account Number: 8991-0004-62 (PESO SAVINGS ACCOUNT)

SEC REG. NO. CN201619200

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