Nee) pit ipPINE NURSING RESEARCH SOCIETY INC. C/o Philippine Nurses Association, Inc, 1663 F T Benitez, Malate, Manila, 1004 www.pnrsi.com re cuniaal To apply for PNRS membership, please print the Application Form, complete it (including signature) and email it to everly36_2017@yahoo.com. A welcome letter and invoice will be sent. PERSONAL INFORMATION Tme: OrL] Prot] ML] MeL] GENDER: Male] Female [] NAME: Tastee ide Name Fist Namo Organisation: Position: Mailing Address: Postal Code: City: Phone! Fax: E-mail: Website: Major area of activity: Clinical] Teaching] Public] HealthL] other: Ihave read the General Information and agree to the terms and conditions. ‘SIGNATURE DATE ‘The annual fee for members follows the calendar year. Only one person should apply per form. The membership automatically continues for the next calendar year, unless written notice is given to the Secretary of the Board (everly36_2017@yahoo.com), at least one month proceeding to the next calendar year. MEMBERSHIP CATEGORY Student Member- 8SN students (Php 100.00/year) Regular Member - Post-graduate with degree research works (Php 500.00/year) Advanced Member - Experts (research mentors, published works in journals, research project management (Php 500.00/year) For membership payments, kindly deposit to Philippine Nursing Research Society Inc., RCBC Savings Bank (Remedios Branch) Account No.: 00001-052-10819-2. Email or text deposit slip details to everly36_2017@yahoo.com or +63 922 8823 835 (Ms. Ever Motea)