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_/ ITU-MD U Y E MURACAAT F O R M U _/
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Is this a new application or a renewal? Please check.
"E-mail"le olan mUracaatlarda, Uyelik FormlarIndaki TUrkCe yazIlarda
kargaSaya yol aCmamak iCin lUtfen aSaGIdaki alfabeyi kullanInIz:
abcCdefgGhIijklmnoOprsStuUvyz
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1. INITIAL INFORMATION:
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Name (first, middle, last)
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Father's Name
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Birth Place and Date
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If Married (Husband's/wife's) Name
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If Any Children Names and Birth Dates
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2. EDUCATIONAL RECORD:
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Highest Degree:
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Major:
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ITU Graduation Year: ITU Freshman Year:
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Other Higher Education Institutions and Degrees:
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If not an ITU graduate reason for membership:
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Please write your title for ITU-MD membership card:
(And also specify its abbrivation in brackets.)
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3. WORK (OR STUDY) PLACE INFORMATION:
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Title:
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Affiliation:
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Division/Department:
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Street address:
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City, State, Zip:
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Telephone:
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Fax:
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E-mail:
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4. HOME ADDRESS ETC.:
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Street address:
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City, State, Zip:
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Telephone:
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Fax:
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E-mail:
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** Please my mail to HOME: WORK: ADDRESS
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5. MEMBERSHIP INFORMATION AND ASSOCIATION RECORDS:
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I would like to join ITU-MD as
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a Regular Member Yearly dues $25.US (senelik aidat) | $
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a Student Member Yearly dues $10.US (senelik aidat) | $
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initiation and ITUMD ID (ilk gIrIS ve kimlik Ucreti) | $10. US
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My check payable to ITU-MD is mailed. Total: | $..
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My picture for ITU-MD ID cart is mailed (check) |
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Membership:
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Membership type:
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Membership date approval:
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Establish Contact with E-Mail: Fax: Mail: Phone:
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Recommended by:
1.
2.
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* Aproved for membership :
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6. ITU-MD ACTIVITIES INFORMATION:
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** If you would like to participate committee activities and
associations administration, please check the followings:
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KOMITELER VE GOREVLER: (Preferred Assignments):
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1. Bylaws (Tuzuk) .., By General Assembly, (Genel Secimle) __________
2. Ethics (Disiplin).., By General Assembly, (Genel Secimle) __________
3. ITU Book (ITU Kitap Yardimi) __________
4. Employment (Is ve Staj Yeri Bulma) _________
5. Membership (Uye Kayit ve Data Base), By General Assembly _________
6. Membership Drive (Mezunlara Tanitim) _________
7. Board of Trustees (See Bylaws for Req.) (Lutfen tuzugu inceleyin) __
8. Young ITU (ITU-MD Genclik Kolu) _________
9. May Turkish Week Activities Newyork (19 Mayis Turk Haftasi) _______
10. Federasyon (FTAA) or Asembly (ATAA) Rep. (ITU-MD Temsilciligi) _____
11. Technical Conference Organization (Konferans Duzenleme) __________
12. Regional Meetings Organization (Bolgesel Toplantilar) ________
13. Regional Board of Directors (Bolgesel Idare heyeti) (Secimle) _____
14. ITU Scientific Aid (ITU Lab. Malzemesi Ozel Yardim) _________
15. ITU-MD TUrkiye Newsletter (Mezunlar Dernegi Dergisi) __________
16. Central Focal (Kilit Noktasi, E-mail olmayanlara haber iletimi) ___
17. Voice Mail (Telefon Haberlesme Sistemi Idaresi) _________
18. Central Fund raising (Klup Binasi ve Ileri Projeler Yardim) ______
19. ITU Special fund Raising (ITU Ozel Proje Yardim) _________
20. ITU-MD WWW Homepage ________
21. ITU-MD E-Dergi PETEK ___________
22. Other (Onerdiginiz diger bir saha var mi?) __________
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Icindekiler
Kapak