Status Title Initials FirstName Surname Gender Date of Birth Institution/Company Department/Division Occupation Highest Degree/Diploma/Certificate Received Highest Degree/Diploma/Certificate Expected Postal Address Postal Code Email Alternative Email Telephone (W) Mobile Member Category and Dues
Paid Mr Test Test Test Male 1980/01/01 12:00:00 AM Test Test Test Test Test 1 Main Street 1000 1@2.com 11@2.com 011000000 011000000 Regular
Paid Mr T Test Test Female 1981/11/01 12:00:00 AM Mintek Engineering Chemist PHD PHD 123 Main Street 1099 123@mail.com 321@mail.com 0119029229 0820000000 Affiliate