Membership form

Member's name: ............................................... ......

Date of birth: ....................... and place of birth: ........................

Degrees:...............................................

And its dates: ................................................ ................

Address: (place of residence) ............................................. .....

Note: If the place of residence is multiple, each address is mentioned separately.

phone number:................................................ ...........

Foreign languages: 1- Proficiency degree: ....................

2-................... Proficiency degree: .....................

Scientific Experience: 1 -............................................. ......

2 -................................................ ...

Areas that the member wishes to work in (in case he is not involved in the government, public or private sector)

First desire: .......................................

Second wish: ........................................

Expecting Member

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