GUMIL Metro Manila

Document Sample
GUMIL Metro Manila Powered By Docstoc
					                  GUMIL Metro Manila
                  Gunglo dagiti Mannurat nga Ilokano iti Metro Manila, Inc.
                  GUMIL Filipinas Chapter, c/o Bannawag, Manila Bulletin Publishing Corporation
                  Muralla cor. Recoletos Sts., Intramuros, 1002 Manila
                  Tel: 4000-089; e-mail: gumilmetromanila@yahoo.com



GMM Application Form No. __________            GMM Receipt No. ___________        Date Paid: ___________________

1. Nagan: ____________________________________________________________________
2. Lugar ken Petsa ti Pannakayanak: _______________________________________________
3. Adres iti Probinsia: __________________________________________________________
    Adres iti Siudad: ____________________________________________________________
    Adres ti Pagtrabahuan: ___________________________________________________________
    Telepono Blng: ___________ CP Blng: _____________ e-mail: __________________
4. Trabaho: _____________________________
5. Estado sibil: ___________________(No naasawaan, ilanad ti nagan ti asawa ken dagiti sibibiag nga annak.
    Agusar iti sabali a papel no kasapulan.)
    _________________________________                         _____________________________________
    _________________________________                         _____________________________________
6. Nagannak: ________________________                          ____________________________________
7. Edukasion                                                           Tawen               Pammadayaw
    Elementaria: ____________________________                     ____________           __________________
    Sekundaria: _____________________________                      ____________          __________________
    Bokasional: _____________________________                       ____________           __________________
    Kolehio: ________________________________                       ____________          __________________
    Post-graduate: ___________________________                     ____________          __________________
8. Nagtrabahuan ken tawen a panagtrabaho: (Agusar iti sabali a papel no kasapulan.)
    ___________________________________________________________________________
    ___________________________________________________________________________
9. Organisasion a nakaikappengan: (Agusar iti sabali a papel no kasapulan.)
    ___________________________________________________________________________
    ___________________________________________________________________________
10. Pammadayaw ken/wenno pammigbig ken petsa ti panangawat: (Agusar iti sabali a papel no kasapulan.)
    ___________________________________________________________________________
    ___________________________________________________________________________
    ___________________________________________________________________________
11. Dadduma pay a lengguahe iti Filipinas ken/wenno ganggannaet a kabaelan a pangipatarus kadagiti sinurat
    iti Iluko ken vice versa: __________________________________________
    ___________________________________________________________________________
12. Listaan dagiti gapuanan a nobela, sarita, daniw, drama, salaysay, pelikula, komiks ken script iti magasin,
    radio ken telebision a naipablaak ken naiprodius. Iraman dagiti paulo ken isyu dagiti libro, journal,
    magasin wenno diario a nakaipablaakan dagitoy a sinurat. (Agusar iti sabali a papel.)



                 _________________                                                         _________________
                       Pirma                                                                      Petsa

				
DOCUMENT INFO