MEMBERSHIP APPLICATION FORM

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Email *

Please let us know if you are Applying for: *

Individual Membership (as an individual OD practitioner) Php2,500.00

Corporate Member (as a Primary Representative on behalf of your organization) Php5,000.00

Required

Applicant's Name (First, Middle, Last) *

Nickname

Gender

Male

Female

Clear selection

Home or Office Address *

Mobile Number *

Please check the applicable box, if you are working *

as an Independent Consultant

in a company or organization

Required

If an Independent HR/OD Consultant, how long have you been one?

If you are working in a company, please answer questions A - H:

A. Name of Company / Organization

B. Office Address

C. Office Phone or Mobile Number

D. Your Position in the Company

E. Number of Years in the company

F. Industry or Nature of Business

G. Do you have an OD Department?

Yes

Clear selection

H. If you are not the same person, please give the name of your HR or OD head and the official position/title

Total Number of years in OD

Are you willing to be a member in any of the Organization's committees? If yes, please check your preference:

Membership

Program

Research and Development

Ways and Means

To ensure we respect your privacy preferences, please indicate your choice below:
*

Keep my information private: I prefer not to share my details for marketing and other opportunities. 1

Share my information: I am open to receiving information about marketing and other opportunities that may enhance my experience within the industry.

Required

I certify that all information in this application is true and correct. By submitting this form, I hereby allow ODPN to investigate all details made in this application and authorize ODPN to have access to and to use the same details for administrative and marketing purposes.

IMPORTANT NOTES:

1. We only accept payments via bank deposit or bank transfer or online payment to:
Bank Name: BPI

Branch: Ayala 6750
Account Name: Organization Devt. Practitioners Network
Account #: 3201-0394-19

Please send a copy of the deposit slip or bank transfer as proof of payment to odpnsecretariat@gmail.com and odpnacctng@gmail.com.

2. Please send the following details with your proof of payment for your Official Receipt (OR):

Name

Address

TIN

3. We will only send copies of Statements of Account (if needed) and Official Receipts, via email. We request participants to make their own delivery arrangements if they need any of the original documents.

4. Membership is renewable every January of the year.

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