Membership Application Form
 

Type of Application:

New Member

 

Renewal

Type of Membership & Annual Fees:

Individual   Institutional  
           
Professional P1,500 Corporate   P3,500
Academe P1,000 Student Chapter P1,500 
Fresh Graduate w/in six months P  500      
Member  Information:
Last Name
First Name
M.I.
Date of Birth: Sex:
Company/Institution:
Nature of Business:
Position :
Industrial Engineering Education (institution & year graduated):

BSIE Year
MSIE Year
PhD in IE Year
Other degrees Year
Other Professional, Civic or Industry Organizations:
 

Contact Information:

Home Address:
 
Home Tel. No. Cellphone:
Email:
Business Address:
 
Business Tel. No. Fax No.:
Business Email:
Website:

Preferred Mode of Receiving PIIE Information:

Email Home/Office
Postal system Home/Office
Tele-fax Home/Office

Research Interest / Area of Expertise (check as many):

Ergonomics Automation & Robotics
Production & Operations Mgt Process Quality Evaluation
Engineering Economics E-Commerce
Supply Chain Mgt Management Information Systems
Total Quality Mgt Technology Management
Sustainable Production Risk Management
Environmental & Quality Mgt Fuzzy Logic
System Dynamics Simulation & Modeling
Operations Research Project Management
Occupational Health & Safety Micro & Nano Technology
Statistics Digital Factory
IE Education & Training Life Cycle Engineering
Group Technology Production Network
Computer Integrated Mfg Manufacturing Strategy
Others  

Committee Participation (check most preferred):

Membership Organization IE Certification
Student Affairs Academic Research
Chapter Management Annual Congress
Continuing Education PIIE Journal
External Affairs Website Operations

Acknowledgment of Registration/Renewal:
Mode of Payment

Cash P
Cheque P
  Name of Bank  
  Cheque No.:  
  OR No.:  

*For Corporate Membership 1 Alternate Member is allowed

   


   
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