Nee) pit ipPINE NURSING RESEARCH SOCIETY INC.
C/o Philippine Nurses Association, Inc, 1663 F T Benitez, Malate, Manila, 1004
www.pnrsi.com
re cuniaal
To apply for PNRS membership, please print the Application Form, complete it (including signature) and email it
to everly36_2017@yahoo.com. A welcome letter and invoice will be sent.
PERSONAL INFORMATION
Tme: OrL] Prot] ML] MeL] GENDER: Male] Female []
NAME:
Tastee ide Name Fist Namo
Organisation:
Position:
Mailing Address:
Postal Code: City:
Phone! Fax:
E-mail: Website:
Major area of activity: Clinical] Teaching] Public] HealthL] other:
Ihave read the General Information and agree to the terms and conditions.
‘SIGNATURE DATE
‘The annual fee for members follows the calendar year. Only one person should apply per form. The
membership automatically continues for the next calendar year, unless written notice is given to the
Secretary of the Board (everly36_2017@yahoo.com), at least one month proceeding to the next calendar
year.
MEMBERSHIP CATEGORY
Student Member- 8SN students (Php 100.00/year)
Regular Member - Post-graduate with degree research works (Php 500.00/year)
Advanced Member - Experts (research mentors, published works in journals, research
project management (Php 500.00/year)
For membership payments, kindly deposit to Philippine Nursing Research Society Inc.,
RCBC Savings Bank (Remedios Branch) Account No.: 00001-052-10819-2.
Email or text deposit slip details to everly36_2017@yahoo.com
or +63 922 8823 835 (Ms. Ever Motea)