Asian Ombudsman Association

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	Application Form

Type of Membership applied for:

Full Member

Associate Member

Individual Member

Office or Person Applying:

Details of Office:

Address:

Telephone:

Fax:

Documents attached:

Other information that may be of assistance with communication

I of solemnly and sincerely declare and affirm as follow:

	I have read and am cognizant of the requirements of the Bye-laws of the Asian Ombudsman Association insofar as they apply to matters of Memberships
	That the office applying for membership meets the requirements for listed under Bye-Law 5.
	That the attached information confirms eligibility for Membership

And I make this solemn declaration by virtue of the law applicable to the State or place of the Applicant’s domicile.

Declared at:		before me
Signature (Applicant)		Signature
Title (Designation of Office)		Title

Consent Notice

Application for membership in the Asian Ombudsman Association provides consent for the association to aware you of products and services through fax, e-mail or mail. It also states consent for the association to make available your name, address and other business contact information for matters relating to the Asian Ombudsman Association.

have completed this application accurately to the best of my ability. Your Signature and Date

Please print clearly

Name of Applicant

Phone Number:

METHOD OF PAYMENT :

ASIAN OMBUDSMAN ASSOCIATION accepts checks made payable to “Asian Ombudsman Association”

Check Enclosed Payable to ‘Asian Ombudsman Association’

Questions about membership category or applications,
Please contact :

Abdur Rauf
Office Manager AOA ,
Islamabad 44000 Pakistan
Email: membership@aoa.org.pk

Tele: +9251 9252313, Fax: +92 51 9252321