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    Modelo de Registro de Nuevo Miembro para La Isee San Marcos Student Chapter

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    Phol
    This document contains a registration form for a new member of the ISEE San Marcos Student Chapter. It requests contact information, membership details, endorser information from a person who has known the applicant for at least 3 years, student information including student ID and transcript, and confirmation of membership in the Universidad Nacional Mayor de San Marcos chapter. The applicant is asked to send PDFs of their university ID card photo and national ID card photo.

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    Modelo de Registro de Nuevo Miembro para La Isee San Marcos Student Chapter

    Uploaded by

    Phol
    30 views2 pages
    This document contains a registration form for a new member of the ISEE San Marcos Student Chapter. It requests contact information, membership details, endorser information from a person who has known the applicant for at least 3 years, student information including student ID and transcript, and confirmation of membership in the Universidad Nacional Mayor de San Marcos chapter. The applicant is asked to send PDFs of their university ID card photo and national ID card photo.

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    Contact Information.docx

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    This document contains a registration form for a new member of the ISEE San Marcos Student Chapter. It requests contact information, membership details, endorser information from a person who has known the applicant for at least 3 years, student information including student ID and transcript, and confirmation of membership in the Universidad Nacional Mayor de San Marcos chapter. The applicant is asked to send PDFs of their university ID card photo and national ID card photo.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    30 views2 pages

    Modelo de Registro de Nuevo Miembro para La Isee San Marcos Student Chapter

    Uploaded by

    Phol
    This document contains a registration form for a new member of the ISEE San Marcos Student Chapter. It requests contact information, membership details, endorser information from a person who has known the applicant for at least 3 years, student information including student ID and transcript, and confirmation of membership in the Universidad Nacional Mayor de San Marcos chapter. The applicant is asked to send PDFs of their university ID card photo and national ID card photo.

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    of 2

    MODELO DE REGISTRO DE NUEVO

    MIEMBRO PARA LA

    ISEE SAN MARCOS STUDENT CHAPTER

    *Rellene todos los Datos menos el Endorser information

    Contact Information
    First Name PHOL
    Middle Initial M.
    Last Name LLANOS GAMARRA
    Suffix
    Date of Birth 07/11/19971534515
    (MM/DD/YYYY)
    Email phol.llanos@unmsm.edu.pe
    Business Phone '+51 990967685'
    Cell Phone '+51 990967685'
    Home Phone ''

    Street CALLE ELECTRA MZ W LOTE 15


    LA CAMPIÑA -CHORRILLOS
    Street 2
    City LIMA
    State/Province LIMA
    Postal Code LIMA 01
    Country Peru

    Endorser Information
    Name CRISTIAN CARTAGENA MATOS
    Company Universidad Nacional Mayor de San
    Marcos
    Phone '+51 994466527'
    ISEE Number 202000721
    How long have you known this 3 YEARS
    person?
    Relationship UNIVERSITY PARTNER

    Membership
    Membership Type Student Membership
    Blaster's License Issuing
    State/Province
    Photo ID ENVIAR UN PDF CON LA FOTO DE TU
    CARNET DE UNIVERSIDAD
    Student Information
    Student ID 70611435
    Current Transcript ENVIAR UN PDF CON LA FOTO DE TU DNI
    Chapter Information
    Chapter member? Yes, I am already a member of one or
    more ISEE chapters.
    List Chapter Universidad Nacional Mayor de San Marcos
    Memberships

    *Enviar el PDF con tu foto de Carnet de Universidad


    **Enviar un PDF con tu foto de DNI

    Información o preguntas
    +51 994466527

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