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Guild of Otakus

City of San Fernando, La Union

Application Form
Attach 2x2 picture with
white background

Name: ___________________________________________________
Surname

First name

Middle Initial

Current Address: __________________________________________


Permanent Address: _____________________________________________________________
Birthdate: ______________ Age: ______ Gender: _________
E-mail Address: ______________________________

Civil Status: _____________

Contact No.: ___________________

--------------------------------------------------------------------------------------------------------------------For Undergraduate
Course & Year: __________________________________________________________
Current School: __________________________________________________________
For Graduate
Work: __________________________________________________________________
Former School: ___________________________________________________________
For Post-Graduate
Masteral: _______________________________________________________________
Current School: __________________________________________________________
Work (if there is): _________________________________________________________
Contact Person in case of emergency/ Contact No. / Relationship:
________________________________________________________________________
Skills/ Talents:
________________________________________________________________________
Why did you join Guild of Otakus (G.O)?
______________________________________________________________________________
______________________________________________________________________________
What anime character you wanted to be? Why?
______________________________________________________________________________
______________________________________________________________________________
Expectations to G.O:
______________________________________________________________________________
______________________________________________________________________________
Comments/ Suggestions:
______________________________________________________________________________
______________________________________________________________________________

___________________________
Signature over Printed Name

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