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Dyscalculia Association Membership Application
Contact Information
Full Name
(Required)
First
Last
E-posta
(Required)
Phone
(Required)
Address
(Required)
Please enter full address of residence.
ID information
Identification number
(Required)
Birthplace
(Required)
Residential area
(Required)
City / Region
Birth Date
(Required)
DD slash MM slash YYYY
Mother Name
(Required)
Father Name
(Required)
Profession Information
Employed Institution
Job
Title
Click to read the bylaws of the association.
I have read the Dyscalculia Association Charter. I would like to become a member of your association in order to contribute to the realization of the purpose stated in the statute. I declare and accept that the above information indicating my identity is correct and that I will fulfill all my obligations if I am accepted to membership. I will provide the necessary information for you.
Kabul
(Required)
I have read, understood and accepted the Association's Bylaws.
Signature
(Required)
Attachments
Photo
(Required)
Drop files here or
Select files
Accepted file types: jpg, jpg, jpeg, jpeg, png, png, Max. file size: 5 MB, Max. files: 1.
You can upload your photo in JPG or PNG format.
Identity Card Copy
(Required)
Drop files here or
Select files
Accepted file types: jpg, jpg, jpeg, jpeg, pdf, pdf, png, png, Max. file size: 10 MB, Max. files: 3.
You can upload a scanned version or photo of your identity card in formats such as jpg, pdf, as a single or two files.
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