GALDER – Genel Galvanizciler Derneği General Galvanizers Assocition Üyelik Başvuru Formu / Membership Application Form Firma/Kurum Adı (Name of the company) :________________________________________________________ Adı, Soyadı (Name, Surname): __________________________________________________________________ TC. No (ID no) : ______________________________________________________________________________ Anne Adı (Mother’s name) :_______________________ Baba Adı (Father’s name):_______________________ Doğum Yeri ve Tarihi (place of birth and date):_____________________________________________________ Uyruğu (Nationality) : _________________________________________________________________________ Eğitim/Bitirdiği okul (Education / The last school you have been gratuated):______________________________ ____________________________________________________________________________________________ Mesleğiniz (Profession) :______________________________________________________________________ Yabacı Dil (Foreing Language/s) :_______________________________________________________________ Ev Adresi (Home adress) :_____________________________________________________________________ İş Adresi ( Work adress) :______________________________________________________________________ İş / Ev Tel (Work / home phone) :_____________________ Cep Tel (Mobile) : __________________________ Faaliyet Alanının /Ürün ve Hizmetin türü ( Field of business activity / products & services) : ________________ ___________________________________________________________________________________________ Web sitesi (Website) : ________________________________________________________________________ E-posta (E-mail):_____________________________________________________________________________ Diğer/Açıklamalar /Ekipman vb. (others/ explanations / equipment, etc.) : ________________________________ ____________________________________________________________________________________________ Yukarıda verdiğim bilgilerin doğruluğunu ve Dernekler Kanunu’nun 4. ve 16 Maddelerindeki yasaklar kapsamına girmediğini ve tüzük hükümlerini aynen kabul ettiğini beyan ederim. I declare and accept that all the information given above is correct. I am not forbidden due to the 4th and 16th clauses of Turkish Associations law and I permit all rules of the charter. İ M Z A ve K A Ş E (signiture and stamp) Tarih (Date) : .… /…. / 2014 1 Ekler : 2 fotoğraf, CV, Kimlik kartı ön – arka fotokopisi Attachements : 2 photos, CV, photocopy of the identity card Yukarıda hakkında bilgi verilen kişinin derneğimize üye olması teklif ederiz. We propose the person whose information given above, to be a member of our association. Öneren Üyelerin Adı, Soyadı : Sicil No: İmza: Proponent Member’s Name, Surname: Registration Number: Signiture: 1- ____________________________ _______________________ ____________ 2- ____________________________ _______________________ ____________ 2
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