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					                                                                                                                                                                                        PEMJA Membership Form



                                                                                                                                                                                       Fill this form & Send to: PEMJA.pb@gmail.com
                                                                                                                                                           First Name                                                                            PIC
Bank Challan Form # _________________ ____________Form: _____________ ________Membership # ________________ Date: ________________________




                                                                                                                                                           Last Name
                                                                                                                                                          Father Name
                                                                                                                                                               NIC
                                                                                                                                                             Gender                            Marital Status


                                                                                                                                                          Current
                                                                                                                                                          Address
                                                                                                                                                               Permanent
                                                                                                                                                                Address
                                                                                                                                                          Home Phone                                        Mobile
                                                                                                                                                          Date of Birth                                     Blood Group
                                                                                                                                                          E-mail                                            Member
                                                                                                                                                                                                            Signature
                                                                                                                                                          Dependent:                                                         Relation         YES/NO
                                                                                                                                                                                                                             Father
                                                                                                                                                                                                                             Mother




                                                                                                                                                          Education:
                                                                                                                                                          Technical Skills:
                                                                                                                                                          Job Profile
                                                                                                                                                          Company Name                                      Employee #
                                                                                                                                                          Job Title                                         Duration
                                                                                                                                                          Company
                                                                                                                                                          Address
                                                                                                                                                          Phone                                                 FAX
                                                                                                                                                          Experience:
                                                                                                                                             Membership Form




                                                                                                                                                               President ____________________                         General Sectary__________________

                                                                                                                                                          Signature____________________                            Signature ________________________


                                                                                                                                                               )۱(‫کمپنی کارڈ کی کاپی‬      )۳(‫شناختی کارڈ کی کاپی‬               ‫تین (۳)عدد تصویرشناختی کارڈسائز‬

				
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posted:12/30/2011
language:German
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