Membership Application Form

* = Required Information

Membership Application

Member Type *

Regular Membership

Affiliate Membership (ABD Candidate)

Corporate Sustaining Membership

Name *

Title/Position *

Username *

Password *

Educational Level (Individual)

Degree / Specialization Awarded *

Educational Level (Corporate Representative)

Employer/Business *

Current Address *

City *

State *

Country

Zip Code

Region

Home Phone

Cell Phone *

Email *

Electronic Communication

Skype ID

WhatsApp ID

Gender *

Male

Female

Birth Day

Educational Qualifications *

Awarding Institution *

Doctorate Awarding Year *

Dissertation Topic *

Published Dissertation Link

Profession / Area of Specialization *

Research Interests

Brief Bio *

Attach Profile Picture *

How Did You Hear About WAAD *

Reason for Joining WAAD *

Interested in becoming a Committee Member *

Yes

WAAD Committees you would like to work on:

Choice 1

Choice 2

DECLARATION

I hereby declare that I have gone through the vision, mission, and details of the association. I agree to abide by the vision, mission, and rules set for the association. I further declare that all the information's mentioned in this form are true and correct to the best of my knowledge and believe. I have not concealed any information, should it be so at any point of time, my membership is liable to be terminated. If I am admitted to WAAD as a member, I will abide by the Constitution / Bye-Laws, and Code of Conduct set by the Governing Council to assure effective and ethical decision-making and governance. If I infringe any rules, the Governing Council has the right to terminate my membership. All contributions will not be refunded.

Date: