Mechatronics & Robotics Society of The Philippines: Membership Form
Mechatronics & Robotics Society of The Philippines: Membership Form
Mechatronics & Robotics Society of The Philippines: Membership Form
MEMBERSHIP FORM
Date:
INDIVIDUAL MEMBER
1. Name:
Family Name
Given Name
M.I
2. Residence Address
4. Highest Degree Earned/
Education
5. Name of School
Graduated
6. Job Description
3. Birth:
3.1 Sex: __________________
3.2 School Year ___________
3.3. Civil Status_____________
INSTITUTIONAL MEMBER
7 Company/Institution
Name
8 Company Address
Zip Code
9. Telephone / Fax:
Company Phone
Fax
Residence Phone
E-Mail Address
10. Other Related Experience: _____________________________________________________________________________
11. Area of Specialization: 1. ___________________
2. ___________________
3. ___________________
12. Mailing Address:
Complete Address
Center for Engineering and Sustainable Development Research
(CESDR) V102, DLSU-MANILA, Tel_Fax +632 5360260
Email_adress: [email protected]
Or
Mechatronics Training Center(MTC), UP-ISSI Building,
Jacinto St. UP Diliman, Quezon City, Philippines , Tel No.
928-3307 Fax 928-6297, Email_address:
[email protected]