Form PRAASA MEMBERSHIP FORM

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PRAASA

Philippine Recruitment Agencies Accredited to Saudi Arabia, Inc.

INFORMATION SHEET
NAME OF AGENCY: _____________________________________ OWNER: ______________________
ADDRESS: ____________________________________________ RESIDENCE: __________________
______________________________________________________ ______________________________
TEL NOS.: ___________________ FAX: _____________________ BIRTHDATE: ___________________
POEA License No.: _______________ Date Issued: ____________ TEL NO.: ______________________
Email address: ______________________________ CELLPHONE: __________________

MEMBERSHIP APPLICATION FORM


TYPE OF BUSINESS ORGANIZATION:
Single Proprietorship Partnership Corporation

COMPANY OFFICERS:
Name Position
___________________________________ ___________________________
___________________________________ ___________________________
___________________________________ ___________________________

OFFICIAL REPRESENTATIVE/S TO PRAASA:


Name Position
Principal: _________________________________ ___________________________
Alternate: _________________________________ ___________________________

MEMBERSHIP IN OTHER ORGANIZATIONS:


Name of Organization Position
___________________________________ __________________________
___________________________________ ___________________________
___________________________________ ___________________________

I hereby certify that all information contained herein are true and correct
to the best of my knowledge.

___________________________
(Signature Over Printed Name)
Date: ___________________

NOTE: Please attach copy of POEA License, SEC/BDT Registration, Resume & 2x2 picture of representative/s.
ACTION TAKEN:

Membership Committee:
Recommending: Approval Denial

CHAIRMAN: ________________________________________

MEMBER: ____________________________ MEMBER: ___________________________

Board of Trustees: Approved Denied as per Resolution No.: _______________


Date: _______________
Membership Fee ofnewPP5,000.00
5,000 and Annual Dues of P 1,000 paid on: _________ OR No.: ____________
renewal P 3000.00

plus annual fee P3,000.00 TOTAL P TREASURER: _________________________

https://cdn.fbsbx.com/v/t59.2708-21/20688842_10209900719oh=4eaa7ecd0d83cb7767051cfff44fc4aa&oe=59C4AF13&dl=1 20/09/2017, 2H54 PM


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https://cdn.fbsbx.com/v/t59.2708-21/20688842_10209900719oh=4eaa7ecd0d83cb7767051cfff44fc4aa&oe=59C4AF13&dl=1 20/09/2017, 2H54 PM
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