Hrpab Membership Form

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E-mail: [email protected], Web: www.hrpab.weebly.com, Facebook: www.facebook.

com/hrpab
APPLICATION FOR MEMBERSHIP
2 copy Recent
(For Office Use only) : PHOTOGRAPH
Registration Serial No: ____________________________Membership No: ____________________ (Stamp size)

PROFESSIONAL: STUDENT:

Note :( Please write clearly in Block Letters, all information requested below)
(A): PERSONAL:
1. Name: (Of Applicant): ___________________________________________________________________________

2. Father’s Name: _______________________________________________________________________________

3. Mother’s Name: ______________________________________________________________________________

4. Date of Birth (Of Applicant): ______________________________________________________________________

5. Marital Status: (Of Applicant): ________________________ 6. No of Dependents: (Of Applicant): ________________

7. Name (of spouse): ______________________________________________________________________________

(a)Date of Birth (of spouse): ______________________________ (b).Profession: (of spouse): ____________________

8. Permanent Address: ___________________________________________________________________________

______________________________________________________________________________________________
______________________________________________________________________________________________
9. Mailing Address: _____________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

10. Telephone: (Home): ____________________________________11. Mobile: ____________________________


12. Email: _____________________________________________________13. Fax: _________________________
14. National ID: _______________________________________________15. Blood Group: __________________

(B): ACADEMIC ACHIEVEMENT: (Please list in order of the last Degree received):
Year Degree / Div / Institution Major/Specializat
Certificate Class ion

(C): PROFESSIONAL ACHIEVEMENT: (Please list in order of the last Award received):
Year Degree / Div / Institution Major/Specializat
Certificate Class ion
(D): CURRENT EMPLOYMENT: (Current Job)

(a): Designation: ________________________________________________________________________________

(b): Name of the Organization: ____________________________________________________________________

(c): Address: ___________________________________________________________________________________

____________________________________________________________________________________________

(d): Contact No: (Office): _________________________________________ (e): Mobile: _____________________

(f): Email: _____________________________________________________________________________________

(g): Total years of work experience: _______________________________________________________________

(h): Total years of HR experience: ________________________________________________________________

(i): Your Area of Specialization in Human Resources Function: (e.g. training, Appraisal, Union Negotiation, compensation,

Recruitment,, Labor Law, etc): ________________________________________________________________________

(E): CAREER HISTORY:


Please briefly list below last five organization’s you worked for, position’s held by you, and (This sheet is an integral
part of the Membership Application Form).

NAME OF ORGANISATION POSITION’s HELD FROM TO

DECLARATION: (By the Applicant):

Declaration: I hereby declare that, all provided information is true and correct. I will comply with all rules and laws
of this Association. I agree to pay the current applicable fees for become a MEMBER of HRPAB.

Signature of Applicant: .................................................................................... Date: ...................................................

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