Membership Form

Business Address :

Office/Building :



Street :



City/Province :



Country :
Choose CountryAfghanistanArmeniaAzerbaijanBangladeshBhutanBruneiBurmaCambodiaChinaGeorgiaHong KongIndiaIndonesiaJapanKazakhstanKorea NorthKorea SouthKyrgyzstanLaosMacauMalaysiaMaldivesMongoliaNepalPakistanPapua New GuineaPhilippinesRussiaSingaporeSri LankaTaiwanTajikistanThailandTurkeyTurkmenistanUzbekistanVietnam

Zip Code :

*Business Tel. Nos. :



 



Fax No.:



Mobile Number :


*Email :


Date of Birth :

Education

(Check the highest level of attainment)

High School



Bachelor’s Degree



Master’s Degree



Doctorate



Associate’s

Professional Certifications (i.e. C.P.M, A.P.P., CPIM, CIRM. Please list others)


Please describe your major job function / responsibility

PASIA Committee

Please check which PASIA Committee you would like to be involved in :

Training and Seminars



PASIA Magazine and Publications



Regional Procurement Conference



Other Events



Membership



I would like to be a member of PASIA, but not yet fully available to participate in the committee.