Association of Overseas Chinese Agricultural, Biological & Food Engineers (AOC) Membership Application

I submit the following for Membership Reinstatement        Are you a Student? No or Yes

Prefix Mr. Ms. Dr. Prof. Other
First Name* Middle Initial
Last Name*
Title Birthdate (Month/Day/Year)* Male Female
Name of Employer
Employer P.O. Box or Street Address
City State/Province
Zip or Postal Code Country
Business Phone (include area code) Extension
Fax Number (Please include area code)
E-mail Address*
Mail Preference Home Employer
Choose One Classification for Employer Type Other

Home Phone
Home P.O. Box or Street Address*
City* State or Province
Zip or Postal Code
Country

Engineering Degree No Yes
Professional Registration Haven't applied Other Professional Engineer Engineer Intern
States/Provinces
Branches of Engineering
Registration Number

Educational Background
Degree
University
Date of Graduation (month/year)
Degree
University
Date of Graduation (month/year)
Degree
University
Date of Graduation (month/year)
Choose One Primary and One Secondary Technical Interest Area
Primary
Technical Interest Areas
Secondary
Applied Science & Engineering
Aquaculture
Education, Outreach, & Prof Dev
Energy Systems
Ergonomics, Safety, & Health
Forest Engineering
Info Tech, Sensors, & Control Sys
Machinery Systems
Natural Res & Environ Systems
Plant, Animal, & Facility Systems Systems
Processing Systems
Other
Student Member Dues (one time fee) US$5.00.
Regular Member Dues (living outside of China) US$20.00.
Regular Member Dues (living in China) US$15.00 (100 RMB).

* REQUIRED data

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