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Rotaract Club
of
usl Citadel
“ Fellowship Through Service ”
Name
Family Name
District 3770
Sponsored by: Rotary Club of Tuguegarao Citadel
First Name
Middle Name
Date of Birth
Home Address
Class Schedule
Cellphone No.
Email Address
Course & Year
Areas of Interest:
Community Service
International Service
Professional Development
Youth Service
Club Service
1. Will you take part in 60% of the club’s social and services activities?
Yes
No
2. Are you willing to pay membership and monthly dues?
Yes
No
I understand and accept the principles of Rotaract as express in its purpose and objectices
and agree to comply with and be bound by the Standard Rotaract Club Constitution, Rotaract
Staements of Policy, and bylaws of the club.
Signature
Date
Rotaract_Application.pdf (PDF, 248.26 KB)
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