英文姓氏

云端

  　　THE?SOCIETY?OF?
CHINESE?SCHOLARS?ON?EXERCISE?PHYSIOLOGYND?FITNESS?A
Membership?Application?Form?(2006)?
Mission?of?the?Society:?The?Society?of?Chinese?Scholars?on?Exercise?Physiology?and?Fitness?(SCSEPF)?is?a?non-profit?professional?organization?committed?
exclusively?to?the?advancement?and?improvement?of?exercise?physiology?and?fitness.?SCSEPF?provides?a?forum?for?exchange?of?information?to?stimulate?discussion?
and?collaboration?among?exercise?physiologists?and?fitness?professionals.?
Secretarial?Only?
Reg.?#:_________________?
Date?rec'd:______________?
I.?PERSONAL?PARTICULARS?个人资?
Prof.?Dr.?Mr.?Mrs.?Ms.Miss
教授?博士?先生?太太?士小姐

Surname?
英文姓氏?Other?Name?
英文名字?
Name?in?Chinese?
中文姓名?
Affiliation?
工作单位?

Department/Office?
学系/部门?


Position?
职位?
Mailing?Address?
通讯地址?
Department?学系/部门?Affiliation?工作单位?Rm./Floor?室/层?Bldg.?大厦?

Street?街道?City城市?Province/?State?份?Country?国家?Postal?Code?邮政编码
Tel/Fax/E-mail?
电话/传真/电邮?
(?)-(?)?
Country?