UNWA Membership Form 2003

UNITED NATIONS WOMEN’S ASSOCIATION OF BANGLADESH

MEMBERSHIP APPLICATION/RENEWAL FORM

(Please print clearly)

 

Name:  _____________________________________________________________

Address:  ___________________________________________________________

Home Tel:  ____________________     Mobile Tel: __________________________

Office Tel:  ____________________     E-mail:  _____________________________

Nationality:   _________________________________________________________

Type of Membership:

FULL (UN or Affiliated Agencies)

                        Name of Agency: ________________________________________

                        Name of UN staff member:  ________________________________

                        Job/Title/Area of Work:  ___________________________________

ASSOCIATE (Non-UN)

                        Name of Office/company:  _________________________________

                        Name of Person working:  _________________________________

Are you employed? __________     (Please circle one)    Full-time        Part-time

Month/Year of arrival in Bangladesh: _______ Probable duration of stay:________

In what ways have you been involved in UNWA activities last year and in which kind of activities who you like to participate in this year? (please circle one or more)

 Board Member                                 Hospitality                                      Welfare            

Membership                                     Publicity                                          Publications   

Selling UNWA Publications           Up-dating “Settling                        UN Ball Committee

Organizing Activities                      in Bangladesh”                               Distribution of Womun

Attending activities                          Other  _______________________

 What are your hobbies/interests that you can share with other UNWA members?

___________________________________________________________________

Membership fees received

RECEIPT NO.______________________________________

Please bring your membership form to the April General Meeting, or hand it over to the Membership Committee Renu Paryani in Gulshan.