TάRK ELEKTRON MέKROSKOPέ DERNEΠέ

άYE GέRέή BέLDέRGESέ

 

Kiώisel Bilgiler:

 

Lisans άstό Eπitim:

 

Yόksek Lisans:                           Doktora:                                  Uzmanlύk:

Dalύ:……………………………………………………………………………………………..

άnvanύ:………………………………………………………………………………………….

 

Gφrev Yeri:……………………………………………………………………………………..

Gφrev Adresi:…………………………………………………………………………………..

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Posta Kodu:………………………………..ήehir.…………………………………………….

Alan Kodu:………………'…...............…………………..Fax:…………………………….

Ev Adresi:………………………………………………………………………………………

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Posta Kodu:………………………………..ήehir.……………………………………………

Alan Kodu:…………………………'……………………..Fax:…………………………...

E-mail:………………………………..

άye Olduπunuz Diπer Dernekler:

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Ηalύώma Alanύnύz / έlgi Alanύnύz : 

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Tόrk Elektron Mikroskopi Derneπi Yφnetim Kurulu Baώkanlύπύ’na ,

Derneπe asli όye olarak kabόlόmό ve kaydύmύn yapύlmasύnύ rica ederim.              

                                                                                                              Tarih:…………                                         έmza:………….

 άYELέK έΗέN GEREKLέ BELGELER:

 

1. Nόfus cόzdanύ fotokopisi

2. άyelik baώvuru formu

3. 2 adet resim

4.  Derneπimizin yύllύk aidatύ olan 30 YTL ve Giriώ aidatύ olan 30 YTL  Dernek Banka Hesap  numaralarύna φdenerek, φdendi makbuzu gerekli belgeler ile birlikte Dernek Saymanύ Doη. Dr. Feriha ERCAN’ a ulaώtύrύlacaktύr.