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University of the Philippines
Alumni and Associates
in Manitoba, Inc.
Membership Form
Personal Information
Full Name
*
Nickname
Home Address (or Winnipeg Area)
*
Home Phone
Mobile Phone
Email Address
*
Birthdate
*
Date of Arrival in Canada (Month/Year)
*
UPAA-MB Information
To learn more about the different membership types and different committees, please read the
UPAA-MB Constitution and Bylaws
Preferred Committee
*
Membership
Fundraising
Social Responsibility
Information and Communication
Academic Information
Student Number
(xxxx-xxxxx )
Campus
*
College
*
Undergraduate Degree
Year Graduated
Graduate Degree/Program
Date Completed
Degree/Program/Certificates Earned (Philippines/Winnipeg)
Degree/Program/Certificate/s
Date Completed
.
Degree/Program/Certificate/s
Date Completed
.
Degree/Program/Certificate/s
Date Completed
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