GLOMAV MEMBERSHIP FORM

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GLOMAV

MEMBERSHIP FORM

PERSONAL INFORMATION
Surname:

Other Names:

Date of Birth:

Gender:

Nationality:       Other specify:

Job Description: *indicate student if not employed

Employer: *indicate the name of your company if employed

Email:

Address:

City:

Country:

INTEREST

Hobby:

Field of Interest:

Others specify:

COMMENTS
Do you belong to a club, association, NGO, etc?     YES     NO

If YES, what is the name of the organization?

Have you participated in any positive social event? YES     NO

If YES, what was it?

Comment on why you want to join GLOMAV (in not more than 50 words)

PARTICIPATION

How do you want to get involved (1)?

How do you want to contribute to GLOMAV?

Click Here to View Membership List

Click Here to View GLOMAV Country Representatives / Partners

This VISION is all about P---E---A---C---E---