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Do you belong to private sector public sector multilateral organization? (Please check where applicable) regular Contractual Consultant name and nature of organization: ________________________________________ Designation: __________________ number of years with the organization: ____________ type of tenure: Do you have any elective government/public service experience? elective office / locality _____________________________________ _____________________________________ _____________________________________ inclusive Dates/term _________________ _________________ _________________ facebook Yes no if yes, kindly fill up the details below:
interests: __________________________________________________________________________________________ How did you learn about GREEN TEAM PILIPINAS?
________________________________________________ signature above Printed name / Date of application ----------------------------------------------------------------------------------------------enDorseMent Portion We hereby endorse M__________________________________________ to the roster of regular associate members of Green Team Pilipinas. We understand his/her application will undergo review by the Membership Committee and may be required to produce additional documents. ________________________________________
signa ture above printed name / Chapter / Date
________________________________________
signature above printed name / Chapter / Date
Page 1 of 2 pages
Note: Read carefully the backside, sign and submit to your local chapter and fax/email a copy to GTP.
Page 2 of 2 pages
Note: Make sure to fill up completely the front side and submit to your local chapter and fax/email a copy to GTP.