ESC membership application ESC membership application Full name * Gender * MaleFemale D.O.B * Emirate * Abu DhabiDubaiSharjahAjmanUmm Al QuwainRas Al KhaimahFujairah Employment / school * Current job * Qualification * Address * P.O.Box Mobile * Work Phone Fax Number Email * Areas of contribution to the Emirates Science Club * Contribute to the organization of exhibitions and participations Contribute to marketing and promotion Contribute to the preparation of studies and research Contribute to the preparation of websites Contribute to the activity of communicating with government institutions Contribute to the activity of communicating with charitable organizations Contribute to the club's information technology systems Contribute to the organization of training courses, seminars and workshops Contribute to the club's management activity internally Office Consulting - Club Library Contribute to the preparation of studies and research OtherOther attachments Photograph * Drop a file here or click to upload Choose File Maximum file size: 3MB ID photo - front side * Drop a file here or click to upload Choose File Maximum file size: 3MB ID photo - back side * Drop a file here or click to upload Choose File Maximum file size: 3MB Passport * Drop a file here or click to upload Choose File Maximum file size: 3MB Membership Terms The membership applicant must be a citizen of the United Arab Emirates. A copy of the passport or the national identity card. Two (2) personal photos. That his acceptance be issued a decision of approval from the club's board of directors. To be of good conduct and behavior. Compliance with the terms, laws and regulations issued by the club. Membership Agreement * I read and agree with the terms and conditions. If you are human, leave this field blank. Submit Start Over
