Umm Al-Qura University

Umm Al-Qura University

Request Form to Register a Member of a Society

Registration of a Member of a Scientific Society

 Forms    From : - 2020/08/18 م , To : - 2050/12/25 م

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User Details :

Following Data will be included with the From

    Title of the Request

    Please enter the title of the request

    * His Excellency the Chairman of the Scientific Society

    I would like to inform you of my wish to join


    * I wish that the type of membership to be:

    (He is entitled to attend the general assembly, vote, and be nominated for the membership of the Board of Directors.)


     Active member (who is entitled to attend the general assembly, vote, and be nominated for the membership of the Board of Directors)

     Affiliated member (university students and staff, and those interested in the society’s scope of work who can attend the general assembly without voting or nomination)

     Please note that I have paid the membership fees.

    * Cash

    Invoice Number

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    Allowed Size : 1024
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    * Proof of Payment

    Please attach a copy of the invoice.


    * .

    At the society’s account at bank:…


    * .

    Account Number


    * .

    IBAN......SA


    * Personal Data

    Full Name


    * .

    Civil Registry/Residence


    * .

    Personal/Academic Data


    * .

    Academic Data


    * .

    (He is entitled to attend the general assembly, vote, and be nominated for the membership of the Board of Directors.)


    * .

    Application Date


    * .

    City


    * .

    Contact Information


    * .

    Contact Information


    Pledge

    I hereby pledge that the information stated above is correct, and I bear responsibility for it.



    * .

    Signature

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