aPo-EvNeT Registration Form

Please Fill-in ALL the fields in the Form below. Enter only letters and/or numbers for your Username and Password. Enter "none" or "N/A" if a field is not applicable. Please submit separate form if Spouse is also an APO Member. Any information submitted is subject to further verification. Please read our | Privacy Policy | User Agreement |

Let me introduce myself.
I'm an APO		 Brother Sister
Last Name:
First Name:
Middle Name:
Nick Name:
Email Address:
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Chapter:
School:
Batch Name:
Batch Year:
My Batch Mates:
A Full-Fledged Member? Yes   No   Don't Know
APO ID No.:
Date of Birth:
Place of Birth:
Name of Spouse, if married:
Mailing Address
or Present Address:
Town/City:
Country:
Occupation:
Office/Company & Address:
Telephone or Mobile Phone:
Alumni Association, If any:
Position in APO:
Home Page:
Enter your User Name:
Enter your Password:
Confirm Password:
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