PASCHR Membership Application Form
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PRIVACY POLICY
Privacy notice in compliance with RA 10173 Data Privacy Act of 2012:

By voluntarily accomplishing this form, the applicant consents to the use and processing of the information collected via this Google Form. This information will be used primarily for PASCHR Membership Application purposes and will be shared to PASCHR team who will approve the membership application.
Name *
Designation *
Institution *
Email Address *
Contact Details
Telephone *
Residence *
Other Details
Discipline *
Specialization *
Years of Mdembership *
Undertaking
I hereby certify that all information provided in this application and in all supporting documents are true and correct , and made for the purpose of applying for PACHR membership. I further authorize PACHR to verify any or all information as maybe required from whatever source/s that PASCHR may consider appropriate.
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