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Uap Membership Transfer Form

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UNITED ARCHITECTS OF THE PHILIPPINES

THE INTEGRATED AND ACCREDITED PROFESSIONAL ORGANIZATION OF ARCHITECTS


10-TIME PRC’s MOST OUTSTANDING ACCREDITED PROFESSIONAL ORGANIZATION AWARDEE
UAP CORPORATE CENTER, 53 SCOUT RALLOS ST., DILIMAN, QUEZON CITY
TEL. NOS. (632) 8888 9266 • FAX NO. (632) 8372 1796
EMAIL: membership@unitedarchitects.ph • WEBSITE: www.united-architects.org

UAP MEMBERSHIP TRANSFER FORM


THIS FORM MUST BE PROPERLY FILLED-UP AND ENDORSED BY THE FORMER CHAPTER BEFORE REGISTRATION CAN BE
PROPERLY PROCESSED. THE UAP-IAPOA MEMBERSHIP REGISTRATION FORM MUST BE ATTACHED WITH THIS FORM.

A. PERSONAL INFORMATION
FAMILY NAME FIRST NAME MIDDLE NAME

CURRENT PHOTO
BIRTHDATE (MM/DD/YYYY) BIRTHPLACE SEX CIVIL STATUS (1.5” X 1.5”; white background)

HOME / PERMANENT ADDRESS TEL NO/s. NATIONALITY

FACEBOOK ID TWITTER ID PRC REGISTRATION UAP REGISTRATION MOBILE NO/s.


NUMBER NUMBER

NAME OF COMPANY AND ITS OFFICIAL ADDRESS TEL NO/s. FAX NO/s. EMAIL ADDRESS

DESIGNATION
B. TRANSFER INFORMATION
1. REASON FOR TRANSFERRING CHAPTER AFFILIATION 2. TYPE OF TRANSFER
Change of Residency Change of Workplace
Others (please specify) PERMANENT TRANSFER
TEMPORARY TRANSFER
(under Fostering Chapter Policy)
3. TRANSFER CHAPTER AFFILIATION EFFECTIVE (MM/DD/YYYY)
PREVIOUS CHAPTER
CHAPTER NAME
ADDRESS
TELEPHONE NO/s. EMAIL ADDRESS
CHAPTER PRESIDENT MOBILE NO.

AUTHORIZATION TO TRANSFER CERTIFICATE OF DISAPPROVAL


By the power vested upon me as Chapter President and upon the I hereby disapprove the application of Arch. ________________________
evaluation of the applicant’s Membership Status with the Chapter, I hereby to transfer from our Chapter to __________________________________
authorize the transfer of Arch. ____________________________ from for the reason of _____________________________________________
our Chapter to _________________________________________. __________________________________________________________.

_______________________________________________ ____________________________ ____________________________________________ ____________________________


Signature Over Printed Name of Chapter President Date Signature Over Printed Name of Chapter President Date

NEW CHAPTER
CHAPTER NAME
ADDRESS
TELEPHONE NO/s. EMAIL ADDRESS
CHAPTER PRESIDENT MOBILE NO.

AUTHORIZATION TO TRANSFER
By the power vested upon me by the UAP By-Laws as Chapter President and upon the evaluation of the applicant’s Membership Status with the
Chapter, I hereby accept the transfer of Arch. ____________________________ to our Chapter, subject to our Internal Rules and Regulations.

_______________________________________________ ____________________________
Signature Over Printed Name of Chapter President Date
APPLICANT’S CERTIFICATION. I hereby certify and declare under the penalties of perjury, that all the information herein is a Applicant’s Signature and Date
true statement of my personal and professional information as of this date, as required by and in accordance with the UAP By-
Laws and its Implementing Rules and Regulations.
DON’T FILL-OUT THIS PORTION (FOR UAP NATIONAL ADMINISTRATION USE ONLY)
Verification of Information/Data Recommending Approval: Approved by Data Encoded by

UAP National Admin – Membership Division Executive Director, Internal Affairs UAP Secretary General UAP National Admin – Membership Division
Membership Form Rev 06.28.22

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